首页COVID-19患者的氧气和监测:一个多学科的团队方法
Mahta Salehi1, Shehrose Chaudry2, Rebecca B Newman3
1St. Louis University Hospital, Hematology Oncology Division, 3655 Vista Avenue, St. Louis, MO 63110, USA.
Journal of community hospital internal medicine perspectives
|October 25, 2023
概括
斯坦福医院 斯坦福医院
科学领域:
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
背景情况:
- 由于COVID-19的流行,需要创新的患者管理策略.
- 开发了家庭氧气计划 (HOP),以管理有氧需求的患者,促进安全的医院出院.
- 本研究评估了在流行病高峰期实施的HOP的安全性和结果.
研究的目的:
- 评估COVID-19患者家庭氧气计划 (HOP) 的安全性和有效性.
- 分析患者的并发症和结果,包括再入院和死亡率.
- 确定HOP对医院资源分配的影响.
主要方法:
- 在2020年4月至2021年1月期间,HOP注册的138名患者的回顾性分析.
- 收集的数据包括人口统计数据,氧气需求,高高压的持续时间和并发症 (心血管疾病,DM,HTN,肥胖,CKD,恶性瘤,COPD).
- 评估的结果是医院再入院和家庭死亡率.
主要成果:
- 患者平均年龄为65.5岁,HOP平均需要1.7升/分钟氧气的时间为19天.
- 9.4%的患者重新入院,其中2.9%是由于缺氧恶化;没有报告家庭死亡.
- 老年,COPD,高血压 (HTN) 和糖尿病 (DM) 与更高的家庭氧气需求 (P<0.05) 有显著的关联.
结论:
- 霍普安全管理有氧需求的COVID-19患者,预防家庭死亡并支持医院床位的可用性.
- 随着年龄的增长和COPD,HTN和DM等并发症的增加,与更高的氧气需求相关.
- 该计划在关键时期展示了有效的患者护理和优化资源配置.
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