在接受肺切除的患者中,长时间住院的预测因素
Filipa Kendall1,2,3,4, Gustavo Silva5, Marta Drummond6,7
1Research Centre in Physical Activity, Health and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal.
Disability and rehabilitation
|January 3, 2024
概括
预测肺切除手术后的长时间住院是可能的,使用体质指数,呼吸肌肉强度,呼吸流量峰值和肺总容量. 这些因素提供了超越传统手术风险评估的洞察力.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 手术结果研究研究.
背景情况:
- 肺切除手术后长时间住院会影响患者的康复和医疗费用.
- 确定延长住院时间的预测因素对于优化患者管理和资源配置至关重要.
研究的目的:
- 在接受肺切除手术的患者中,确定长时间住院 (LOS) 的潜在预测因素.
- 调查手术前患者特征与延长住院时间之间的关联.
主要方法:
- 一项涉及105名肺癌患者的队列研究,这些患者接受了后侧胸切除术肺切除术.
- 术前数据收集包括人口统计,临床因素,肺功能,呼吸肌肉强度,身体健康和行为习惯.
- 多重线性回归分析被用来确定LOS的预测因素.
主要成果:
- 在总样本中,肺总容量 (TLC),最大吸气压 (MIP),最大呼气流量 (PEF) 和体重指数 (BMI) 是LOS的重要预测指标.
- 在长期住院 (PLOS) 组中,MIP百分比 (MIP%),最大呼气压 (MEP) 和TLC百分比 (TLC%) 是最有解释性的变量.
结论:
- 身体质量指数,呼吸肌肉强度,呼吸流量峰值和肺总容量是肺切除后LOS变化的重要预测因素.
- 这些因素为预测手术风险和管理传统措施之外的患者康复提供了宝贵的见解.
相关概念视频
Pneumonia I: Introduction
239
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
239
Endotracheal Tube Extubation
700
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
700
Pneumothorax-II
155
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
155
Pneumonia V: Nursing management and Prevention
2.1K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.1K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
Pneumonia III: Complications and Assessment
231
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
231


