在大流行期间,非COVID患者的呼吸器利用率增加,呼吸器相关的肺炎和死亡率增加
Victory O Okpujie1, Fidelis E Uwumiro1, Michael Bojerenu2
1Department of Internal Medicine, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria.
在COVID-19大流行期间,非COVID患者的呼吸器使用增加,呼吸器相关肺炎 (VAP) 发生率更高,死亡率更高. 这些发现突显了疫情的流行.
科学领域:
- 关键护理医学 关键护理医学
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19 流行病在全球范围内对医疗保健系统产生了重大影响.
- 了解它对需要机械通风的非COVID患者的影响至关重要.
研究的目的:
- 评估非COVID患者中呼吸机利用,呼吸机相关肺炎 (VAP) 发生率和死亡率的变化.
- 为了比较这些疫情前和疫情期间的结果.
主要方法:
- 利用全国住院患者样本数据库用于需要机械通风的成人住院.
- 排除COVID-19患者和未成年人;使用ICD-10程序代码分析数据.
- 计算了每1000名通风成年人中的VAP率,并比较了大流行前和大流行期间的结果.
主要成果:
- 分析了1,533,775例住院病例,并指出疫情期间更多的男性和非选择性住院病例.
- 观察到呼吸器利用率增加4.5%,VAP发病率从每1000名接受呼吸的成年人中的11例增加到17例.
- 死亡率从26.9%上升到31.4%,而在流行病暴露患者中,调整后的几率比为1.13.
结论:
- COVID-19 流行病与非COVID 患者的呼吸器利用率,VAP 率和死亡率显著增加有关.
- 这些发现强调了大流行对重症监护资源分配和患者结果的广泛影响.
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