澳大利亚原住民严重患有败血症:特征,结果和需要改进的领域
Satyen Hargovan1, Taissa Groch2, James Brooks3
1Department of Medicine, Cairns Hospital and Hinterland Health Service, Cairns, Queensland, Australia; College of Medicine and Dentistry, James Cook University, Queensland, Australia.
概括
患有败血症的澳大利亚土著人有相似的生存率,但比非土著患者更年轻地死亡. 了解独特的特征是改善这种人群败血症结果的关键.
科学领域:
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
- 土著健康土著健康
背景情况:
- 原住民和托雷斯海峡岛民澳大利亚人经历了全球性高血发病率.
- 原住民群体的败血症结局需要有针对性的调查.
研究的目的:
- 为了比较澳大利亚原住民和非原住民的败血症患者特征和结果.
- 为改善土著社区的败血症管理提供医疗保健信息.
主要方法:
- 对500名进入凯恩斯医院重症监护室的败血症患者进行了回顾性队列研究.
- 临床特征和短期/长期结果的比较.
- 通过自愿披露土著身份进行分层.
主要成果:
- 原住民患者年轻,患糖尿病,心血管疾病,脏疾病,吸烟和饮酒率更高.
- 尽管存在并发症,但土著和非土著患者的ICU和2000天后医院死亡率相似.
- 原住民澳大利亚人比非原住民澳大利亚人年轻得多.
结论:
- 患有败血症的澳大利亚土著人有类似的死亡率,但死亡年龄较小.
- 独特的队列特征需要定制的干预措施.
- 解决这些特征可以减少败血症的负担,并改善澳大利亚土著人的结果.
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