在非手术重症患者中,氧气治疗诱导的高氧化症
Priscilla Barbosa da Silva1, Sérgio Eduardo Soares Fernandes2, Maura Gomes3
1Priscilla Barbosa da Silva is a master's student, Graduate Program in Health Sciences, Escola Superior de Ciências da Saúde (ESCS), Brasília, Federal District, Brazil, and a staff nurse, intensive care unit, Hospital Santa Luzia Rede D'Or São Luiz, Brasília.
概括
高氧化症,或高血氧,在接受氧疗法的危急病患者中很常见. 这种情况与更高的医院死亡风险有关.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 高氧化症是重症患者经常被忽视的疾病.
- 氧气治疗可能导致高氧化,这可能会产生不良后果.
研究的目的:
- 为了确定非手术危急病患者在ICU入院时高氧化症的发生率.
- 调查高氧化和医院死亡率之间的关联.
主要方法:
- 从2018年7月到2021年6月,对3088名非手术成人ICU患者进行前性队列研究.
- 根据Pao2水平分类的患者:低血 (<60毫米升),正常血 (60-120毫米升) 和高血 (>120毫米升).
主要成果:
- 在38.0%的患者 (1174/3088) 中观察到高氧化症 (Pao2>120 mm Hg).
- 高氧化症独立与增加的医院死亡率相关 (OR,1.32;P=.02).
- 与较高的高氧化率相关的因素包括老年和慢性病;较低的比例与较高的SOFA分数和特定的初级入院原因相关.
结论:
- 氧气治疗诱导的高氧化症在重症患者中很普遍.
- 高氧化症与增加医院死亡风险有关.
- 医疗保健专业人员应认识到与高氧化血症相关的风险和成本.
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