运动的时间与脊椎骨折患者的肺部并发症有关
Michael L Jackson1, Samuel C Thomas2, Matthew R Joyner3
1General Surgery Residency Program, University of South Alabama, Mobile, AL, USA.
The American surgeon
|April 3, 2024
概括
脊椎骨折患者的延迟物理治疗 (PT) 会增加他们患肺部并发症的风险. 早期动员对于预防肺炎和计划外输管等不良结果至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 肺部医学 肺部医学
- 康复医学 康复医学 康复医学
背景情况:
- 脊柱骨折往往需要长时间的固定,阻碍有效的肺部护理.
- 脊柱损伤后的不运动会导致严重的呼吸道并发症.
研究的目的:
- 为了研究物理治疗 (PT) 开始时间和脊椎骨折患者的肺部并发症之间的关联.
- 在这个患者群体中确定肺部并发症的预测因素.
主要方法:
- 在12个月内对491名创伤患者进行了回顾性评估,这些患者患有宫或胸脊椎骨折.
- 收集的数据包括人口统计数据,受伤严重程度,固定和第一次PT评估的时间.
- 肺部并发症 (肺炎,无计划输管,30天死亡率) 是主要结局;使用多变量逻辑回归.
主要成果:
- 19%的患者至少有一次肺部并发症 (10%的肺炎,13%的无计划输管,6%的30天死亡率).
- 时间到第一个PT会话 (OR 1.010) 和损伤严重性得分 (ISS) (OR 1.063) 独立地与肺部并发症有关.
- 很大一部分患者在入院后48小时后接受PT.
结论:
- 延迟开始物理治疗是脊椎骨折患者肺部并发症的独立风险因素.
- 优化移动性干预的时间对于改善脊椎骨折后患者的治疗结果至关重要.
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