在通风儿科创伤患者中与气管切除术相关的因素. 一个国家创伤数据库研究研究
Nasim Ahmed1,2, Yen-Hong Kuo2,3
1Division of Trauma and Surgical Critical Care, Jersey Shore University Medical Center, Neptune NJ USA.
The American surgeon
|December 6, 2023
概括
在儿科创伤患者中,与气管切除术相关的因素包括格拉斯哥昏迷尺度较低的得分和严重的脊椎损伤. 高级创伤中心也显示了这些手术的比例更高.
科学领域:
- 儿童创伤外科手术
- 临界护理医学 临界护理医学
背景情况:
- 气管切除术是儿童创伤患者长期机械通风的关键干预措施.
- 确定影响气管切除决定的因素对于优化患者护理和资源配置至关重要.
研究的目的:
- 为了确定与儿童创伤患者的气管切除手术相关的因素,需要机械通风.
- 分析伤害严重程度和创伤中心指定对气管切除率的影响.
主要方法:
- 使用创伤质量改善计划 (TQIP) 数据库 (2017-2019).
- 包括儿童患者 (<18岁) 接受机械通风>96小时.
- 进行多重后勤回归分析以确定相关因素.
主要成果:
- 在2653名患者中,71.88%接受了气管切除术.
- 格拉斯哥昏迷尺度 (GCS) 的较低得分和严重的脊椎损伤 (AIS ≥3) 与气管切除术 (P < .05) 有显著的关联.
- 一级儿科创伤中心更频繁地进行气管切除术 (OR: 1.848,P < .001).
结论:
- 较低的GCS得分和严重的脊椎损伤是小儿创伤中气管切除术的关键指标.
- 高级创伤中心与此种人群中气管切除术率的增加有关.
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