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在急诊室第一次确认成像时成功减肩的比率
Jeffrey R Stowell1, Levi Filler1, Carl Mitchell1
1Creighton University School of Medicine (Phoenix) Program- Emergency Medicine, Phoenix, Arizona; Department of Emergency Medicine, University of Arizona College of Medicine, Phoenix, Arizona; Department of Emergency Medicine, Valleywise Health, Phoenix, Arizona.
The Journal of emergency medicine
|April 5, 2024
概括
在急诊室 (ED) 中,近19%的肩部脱位减少需要多次尝试. 男性患者和那些没有减少前骨折的患者更有可能成功地进行首次通过肩膀减少,减少ED停留时间 (LOS).
科学领域:
- 紧急医疗 紧急医疗
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
背景情况:
- 急性肩部脱管理是急诊室 (ED) 常见的手术.
- 了解减少失败率和相关因素对于优化患者护理至关重要.
研究的目的:
- 为了确定ED中肩部脱减缓失败率.
- 为了确定与减排失败相关的风险因素.
- 分析减少成功对急诊室停留时间 (LOS) 的影响.
主要方法:
- 一项追溯病例控制研究对成年患者进行,这些患者在ED时经历了肩部脱位减轻.
- 患者根据成功的第一通降低与需要多次尝试的患者进行了分类.
- 分析了患者人口统计,减少技术,减少前骨折和LOS的数据.
主要成果:
- 18.8%的肩膀减轻需要多次尝试.
- 成功的第一通缩与男性性别,引/反引技术以及没有减缩前骨折有关.
- 成功进行第一通缩的患者ED LOS的时间明显缩短,平均为2小时8分钟.
结论:
- 第一次通过肩膀减轻的失败率高于之前报告的.
- 识别患有减少失败风险的患者可以提高医生意识,并可能简化ED工作流程.
- 对减少成功的验证方法的进一步研究是有必要的.
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