在重症成年人中脱口术后食障碍的患病率:澳大利亚数据链接研究
Melanie L McIntyre1,2, Timothy Chimunda3,4,5, Joanne Murray1
1Swallowing Neurorehabilitation Research Lab, Speech Pathology, Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.
腹腔管道输管术后的严重病患者中有7.3%患有腹腔管障,导致住院时间更长,医疗费用增加. 早期发现吞困难对于减轻这些不良结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 在重症监护室 (ICU) 中,内管道输入是常见的.
- 消化不良或吞困难是输管术后的潜在并发症.
- 严重病情的成年人中脱口术后食障碍的患病率和影响需要进一步定义.
研究的目的:
- 为了确定 Endotracheal intubation 后严重病情的成年患者的消化不良的患病率.
- 评估食障碍与患者结局之间的关联,包括吸气性肺炎,停留时间和医疗保健费用.
主要方法:
- 在澳大利亚维多利亚州,使用关联的ICU和医疗保健管理数据库进行了回顾性观察队列研究.
- 包括2013年7月至2018年6月期间需要通过内管道输入机械通风的成年患者.
- 分析了编码性消化不良,吸气性肺炎,ICU和住院时间,以及每次护理费用.
主要成果:
- 在71,124次内内管插管发作中,缺食症在7.3%的发作中被发现.
- 患有食障碍的患者在ICU和医院住院时间明显长 (P < 0.001).
- 缺食症与吸入性肺炎的几率增加 (OR 3.0,P < 0.001) 和医疗保健成本上升93% (P < 0.001) 相关.
结论:
- 输管术后的消化不良与患者和医疗保健的显著不良结果有关.
- 在ICU中早期识别食障碍的战略可能有助于减少负面后果.
- 进一步的研究是有必要的,以开发和评估干预措施,用于口术后的消化不良.
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