阳性尿道导管伤害的特征和结果
Jack D Lawton1, Nicolas Ortiz2, Alexander Henry2
1University of Virginia School of Medicine, Charlottesville, Virginia.
Urology practice
|January 12, 2024
概括
尿道导管期间的催化损伤很常见,特别是在有尿道病史的男性中. 这些创伤性事件导致发病率增加,感染,以及医疗保健资源的大量利用.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 患者安全 患者安全
- 医疗并发症 医疗并发症
背景情况:
- 尿道导管治疗造成的阳性损伤是住院泌尿器科诊所的常见原因.
- 这种伤害增加了患者的发病率和医疗保健资源利用率.
- 有限的文献存在于患者人口统计学,干预措施和创伤性导管治疗的结果.
研究的目的:
- 为了确定与创伤性尿道导管治疗相关的患者特征.
- 分析创伤性导管术后的并发症和资源利用情况.
- 为了确定创伤性尿道导管事件的发生率.
主要方法:
- 对成人尿道导管检查的回顾性审查,在第三级护理中心进行咨询 (2017年7月至2019年12月).
- 创伤性导管以粗血,肉体血液或囊镜创伤证据来定义.
- 收集的数据包括患者泌尿病史,导管情况,干预措施和后续访问.
主要成果:
- 确定了300个咨询,其中98个 (33%) 是创伤事件 (5.3个事件/1000个导管).
- 所有创伤事件发生在男性身上 (平均年龄69岁);71%的人有先前的泌尿病史.
- 常见的后果:严重的血 (50%). 并发症包括13%的30天导管相关的尿路感染,2例败血症病例,52个额外的住院日和113次门诊.
结论:
- 创伤性尿道导管治疗需要更多的程序干预,并增加了与导管相关的尿路感染风险.
- 这些伤害导致大量额外的医疗保健资源利用.
- 需要进一步的研究来制定策略,尽量减少创伤性导管伤害和相关成本.
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