在COVID-19患者中,压力损伤发展的决定因素
Lee H Kilmer1, Ankita Samuel1, Grace L Forster2
1Department of Plastic Surgery, University of Virginia, Charlottesville, VA, 22903, US.
Journal of wound care
|March 7, 2024
概括
压力损伤 (PIs) 在重症COVID-19患者中很常见,特别是那些患有并发病的人. 大多数患者对这些伤害没有接受手术治疗,这突显了护理方面的差距.
科学领域:
- 关键护理医学 关键护理医学
- 流行病学 流行病学
- 伤口治愈研究研究 伤口治愈研究
背景情况:
- 压力损伤 (PIs) 是重症患者的一个重大问题,因不运动和影响组织输液的并发症而加剧.
- 随着COVID-19的流行,危急病患者的管理面临着独特的挑战,可能会增加PIs的风险.
研究的目的:
- 确定与被诊断为COVID-19的患者中PI发展相关的流行病学因素.
- 调查该患者群体中PIs的当前管理实践.
主要方法:
- 利用基于美国国家保险的数据库,在2019-2020年期间诊断出COVID-19的患者.
- 查询了随后的PI诊断,并分析了人口统计数据,并发病症和重症监护室 (ICU) 的入院情况.
- 采用后勤回归来识别PI发展和运营性脱bridement的预测因素.
主要成果:
- 分析了超过140万名COVID-19患者,其中1.06%患有PI,通常在ICU患者中.
- 对PI发展的关键预测因素包括糖尿病,高血压,慢性病,抑郁症和重症疾病指标,如ICU入院和败血症.
- 手术除菌很少发生,即使是严重的病例,诸如ICU入院,败血症和PI位置等因素会影响其可能性.
结论:
- 压力伤害在COVID-19患者中非常普遍,特别是在重症患者中.
- 尽管患病率很高,但大多数患有PIs的COVID-19患者没有接受手术干预,这表明需要改进管理策略.
相关概念视频
Factors Affecting the Risk of Infection
11.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.8K
Pressure Relationships in Thoracic Cavity
2.3K
Breathing, otherwise known as pulmonary ventilation, is the process of air movement into and out of the lungs. The main mechanisms propelling pulmonary ventilation are atmospheric pressure (Patm), intra-pulmonary (Ppul ) or intra-alveolar pressure (Palv) within the alveoli, and intrapleural pressure (Pip) within the pleural cavity.
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs...
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs...
2.3K
Pneumonia I: Introduction
236
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
236
Pneumonia III: Complications and Assessment
209
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
209
Psychoneuroimmunology: Cardiovascular Disease
30
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
30
Factors affecting Blood pressure
3.2K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.2K


