创伤性椎脊髓损伤的呼吸系统发病率和死亡率
Nabin Pokhrel1, Aastha Neupane2, Nabin Thapa3
1National Academy of Medical Science, Kathmandu, Nepal.
Journal of Nepal Health Research Council
|April 15, 2024
概括
创伤性椎损伤经常导致肺炎和延迟断奶等呼吸道并发症. 这些伤害与更长的住院时间,更频繁的呼吸机使用和更高的死亡率有关.
科学领域:
- 创伤外科 手术 创伤外科
- 神经外科 神经外科
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
背景情况:
- 创伤性椎脊柱损伤显著损害呼吸功能,导致严重的发病率和死亡率.
- 常见的呼吸道并发症包括吸血症,呼吸器相关肺炎 (VAP),急性呼吸困扰综合征 (ARDS) 和延迟断奶.
- 了解这些呼吸道问题的患病率和影响对于患者的治疗结果至关重要.
研究的目的:
- 确定患有创伤性椎脊椎损伤的患者的呼吸道疾病患病率.
- 确定该患者群体中呼吸道发病率和死亡率的类型和影响.
- 分析呼吸系统发病率与神经状况,住院和呼吸机日之间的关联.
主要方法:
- 一个回顾性,横截面研究使用医院记录进行了三年.
- 分析了76名患有椎创伤的患者的数据.
- 评估了呼吸道疾病 (VAP,延迟断奶,乳腺癌) 和死亡率的患病率.
主要成果:
- 呼吸道发病率普遍存在,常见的是VAP (57.89%),延迟断奶 (46.05%),以及食 (22.36%).
- 男性患者对部脊柱创伤的敏感性更高.
- 在呼吸系统发病率和增加住院和呼吸机日数之间发现了显著的积极关联 (p<0.05).
结论:
- 在创伤性椎损伤患者中,呼吸道疾病很常见.
- 这些疾病与长时间的重症监护室和呼吸机日有关,有助于增加死亡率.
- 神经状况,特别是亚洲A,与较高的VAP和延迟断奶率有关.
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