在COVID-19后入院到三级保健中心的患者中,氧气需求和相关风险因素:一项跨部门研究
Bishnu Deep Pathak1, Binit Upadhaya Regmi1, Sushil Joshi1
1Nepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal.
概括
大多数COVID-19患者在出院后需要氧气治疗,持续时间与年龄,COPD,吸烟和感染严重程度有关. 早期评估和规划对于COVID-19后的呼吸支持至关重要.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- COVID-19 (冠状病毒疾病2019) 经常影响肺功能,可能导致低氧化 (低血氧).
- 虽然许多患者在感染后恢复了肺功能,但有些人经历了强力脱或在出院后需要持续的氧气治疗.
- 了解在COVID-19后立即期内需要和持续使用氧气治疗的必要性对于患者管理至关重要.
研究的目的:
- 调查最近从COVID-19中恢复过来的患者需要氧气治疗的要求.
- 为了确定与COVID-19后氧气治疗持续时间相关的风险因素.
主要方法:
- 对108名COVID-19后患者进行了分析横截面研究,这些患者通过实时聚合酶连锁反应 (RT-PCR) 呈阴性.
- 数据是从2021年8月到10月中旬在第三级护理中心收集的.
- 包括非参数测试在内的统计分析被用来确定氧气治疗持续时间与年龄,并发症,吸烟和COVID-19严重程度等危险因素之间的关联.
主要成果:
- 显著的大多数患者 (87.96%) 在COVID-19后立即需要氧气治疗,平均持续时间为6天.
- 鼻是最常见的氧气补充方式.
- 60岁以上的患者,慢性阻塞性肺病 (COPD) 患者,慢性吸烟史和严重的COVID-19感染患者的氧气治疗持续时间明显长.
结论:
- 高比例的患者需要在出院后接受氧气治疗,这凸显了COVID-19对呼吸系统的持续影响.
- 高龄,COPD,慢性吸烟和严重的COVID-19感染是长时间氧气治疗持续时间的重要预测因素.
- 医疗保健提供者应在出院时评估这些风险因素,以确保为需要补充氧气的患者进行持续补充氧气的适当规划.
相关概念视频
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