败血症和COVID-19:在重症监护中的年轻成年人的结果
Talita Andrade Santos1, José Edilson de Oliveira1, Cassiane Dezoti da Fonseca1
1Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
Revista brasileira de enfermagem
|December 6, 2023
概括
患有COVID-19的年轻人在重症监护室有很高的败血症发病率 (65%). 细菌性肺共感染是常见的原因,强调了需要采取预防措施的必要性.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- COVID-19显著影响了重症监护室 (ICU).
- 败血症是一种危及生命的器官功能障碍,是由宿主对感染的反应失调引起的.
- 在严重的COVID-19病例中,年轻人代表了一个独特的人口统计学.
研究的目的:
- 为了确定因COVID-19而入住ICU的年轻成年人 (20-40岁) 中的败血症发病率.
- 在这个人群中调查败血症和人口,临床和结果变量之间的关联.
主要方法:
- 量化,纵向,回顾性分析研究.
- 涉及58名成人患者 (20-40岁) 在SARS-CoV-2的ICU中.
- 从电子医疗记录收集的数据 (2020年3月 - 2021年12月).
主要成果:
- 在COVID-19的年轻成年人中,败血症的发病率为65%.
- 败血症与急性损伤,血管活性药物使用,机械通风和急诊室入院有关.
- 细菌性肺部联合感染是最常见的败血症病因.
结论:
- 在COVID-19的年轻成年人中观察到高血发病率 (65%) 和死亡率 (42%).
- 细菌性肺部共感染是败血症发展的关键因素.
- 对预防策略的投资至关重要,特别是对细菌共同感染的投资.
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