夜班工作与急性缺血性中风患者的功能结果有关,这些患者接受了血管内血栓切除术治疗
Wantong Yu1,2, Jin Ma1, Wenting Guo1
1Department of Neurology, Xuanwu Hospital, Capital Medical University Beijing, China.
Heliyon
|February 23, 2024
概括
深夜轮班工作与急性缺血性中风患者经历内血管血栓切除术的结果更差有关. 夜班工人在此次中风治疗后的功能恢复明显较差.
科学领域:
- 神经学 神经学
- 职业健康 职业健康 职业健康
- 脑卒中医学 脑卒中医学
背景情况:
- 轮班工作,特别是深夜轮班,越来越普遍.
- 了解它对急性缺血性中风 (AIS) 等关键医疗状况的影响对于患者护理至关重要.
- 血管内血栓切除术 (EVT) 是AIS的关键治疗方法,但患者的结果可能会有所不同.
研究的目的:
- 调查晚上轮班工作与EVT治疗的AIS患者的功能结果之间的关联.
- 为了确定职业病史是否影响中风干预后的康复.
主要方法:
- 分析了2019年6月至2021年6月期间接受EVT治疗的285名AIS患者的队列.
- 根据职业,患者被分为非夜班工作和夜班工作组.
- 在EVT后3个月使用修改后的Rankin尺度评估了功能性结果.
主要成果:
- 夜班工作者 (12.3%的队列) 较年轻,吸烟,高脂血症,冠心病和心房动的比例更高.
- 与非夜班工作者 (44.8%) 相比,夜班工作者 (25.7%) 的3个月后有利的功能结果明显较低.
- 两组之间在3个月死亡率,症状性脑内出血或早期再通道化率方面没有显著差异.
结论:
- 深夜轮班工作在接受EVT治疗的AIS患者中独立地与不利的功能结果有关.
- 这突出了影响中风恢复的潜在风险因素,需要进一步调查和临床考虑.
- 职业暴露,如夜班工作,可能会在中风患者的预后中起作用.
相关概念视频
01:30Venous Thrombosis IV: Nursing Management
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:28Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...