医院队列研究用于直管冠状病毒病2019年患者的生存预测因素
Fabiola Jahn Deschamps1,2, Paulo Sergio da Silva Deschamps1,2,3, Laura Correa da Silva2
1Centro Universitário Faculdade de Medicina do ABC, Graduate Program in Health Sciences - Santo Andre (SP), Brazil.
概括
分析了2019年冠状病毒病患者的存活预测因素. 与麻醉师相比,紧急医生领导的输管显著增加了死亡风险,这突显了团队在重症监护方面的专业知识的重要性.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 需要先进的呼吸系统支持,包括气管管道输液.
- 预测临床管治疗的重症COVID-19患者的存活率对于资源配置和患者管理至关重要.
研究的目的:
- 在接受气管输管治疗的COVID-19成年患者中确定90天生存的预测因素.
- 评估各种因素,包括医疗专业人员进行输管,对患者的结果的影响.
主要方法:
- 在2020年4月至2021年5月期间,巴西里约杜苏尔县医院进行了一项回顾性队列研究.
- 分析了132名成年患者的COVID-19输管数据,使用Cox比例危险回归来估计90天死亡率的危险比率.
主要成果:
- 整体90天死亡率为62.9%.
- 增加死亡率的预测因素包括60岁以上的年龄,输管前血氧和率低于85%,使用常规喉镜,以及由急诊医生进行的输管.
- 紧急医生的输管与死亡风险增加近四倍有关 (危险比率=3.96).
结论:
- 医疗专业人员领导的气管管道输液显著影响COVID-19患者的生存结果.
- 麻醉师领导的输管组与急诊医生领导的输管组相比,似乎与更好的存活率有关.
- 这些发现强调了需要专门的专业知识的呼吸道管理的严重疾病COVID-19患者.
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