在高风险患者中过度输送氧气进入医疗和外科病房,由无线脉冲氧计监测
Clara E Mathar1, Camilla Haahr-Raunkjær2, Mikkel Elvekjær1
1Department of Anaesthesia and Intensive Care, Copenhagen University Hospital-Bispebjerg and Frederiksberg, DK-2400 Copenhagen, Denmark.
Sensors (Basel, Switzerland)
|February 24, 2024
概括
在医院中,监测过度的氧气管理 (EOA) 是至关重要的. 这项研究没有发现与EOA相关的严重不良事件或30天死亡率的风险增加在医疗和手术患者中.
科学领域:
- 医疗监测 医疗监测 医疗监测
- 患者的安全性 患者安全性
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 过度的氧气管理 (EOA) 对患者构成潜在风险.
- 监测氧气治疗在医疗和外科病房中至关重要.
研究的目的:
- 调查无线脉冲氧计监测的EOA与非致命严重不良事件 (SAE) 和30天死亡率之间的关联.
- 评估EOA持续时间对患者结果的影响.
主要方法:
- 在哥本哈根 (2017-2018) 的567名患者的回顾性分析.
- 由于慢性阻塞性肺病 (AECOPD) 的急性恶化或主要的腹部癌症手术而入院的患者.
- 基于EOA暴露的患者分类:没有,1-59分钟,或≥60分钟.
主要成果:
- 63%的患者没有EOA,26%的患者有1-59分钟EOA,11%的患者有≥60分钟EOA.
- 非致命的SAE或30天死亡率分别发生在24%,12%和22%的组中.
- 对SAE/死亡率的调整后几率比为0.98 (95% CI,0.96-1.01) 每10分钟增加EOA,没有子组影响.
结论:
- 在过度使用氧气时,没有观察到非致命的SAE或30天死亡率的显著增加.
- 该研究没有发现EOA持续时间和30天内不良结果之间的相关性.
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