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在瑞典重症监护室治疗的神经瘤下关节出血的患者:一个注册研究
Arnlind Anna1,2, Danielsson Marita2,3, Engerström Lars4,5
1Department of Neurosurgery in Linköping, University Hospital, Linköping, Sweden.
Acta anaesthesiologica Scandinavica
|May 30, 2024
概括
在瑞典,神经系统下关节出血 (aSAH) 患者的护理在神经重症监护室 (NICU) 和一般重症监护室 (ICU) 之间有所不同. 治疗和结果的区域差异表明需要制定国家指导方针,以改善aSAH患者的护理.
科学领域:
- 神经学 神经学
- 密集护理医学 密集护理医学
- 公共卫生 公共卫生
背景情况:
- 动脉瘤下arachnoid出血 (aSAH) 提出了显著的死亡率和发病率挑战.
- 在瑞典,aSAH患者的护理分布在专门的神经重症监护室 (NICU) 和一般重症监护室 (ICU) 中.
研究的目的:
- 描述瑞典aSAH患者的发病率,停留时间,呼吸机使用和死亡率.
- 为了比较NICU和一般ICU设置之间的患者特征和结果.
- 为了确定aSAH患者管理和结果的区域差异.
主要方法:
- 在2017-2019年期间在瑞典重症监护中心注册的aSAH患者的回顾性分析.
- 队列分为NICU和一般ICU子队列以及按地区划分.
- 使用后勤回归分析的死亡率.
主要成果:
- 包括1520名aSAH患者;30%的180天死亡率,其中17%在重症监护中死亡.
- 超过一半的患者 (59%) 最初在NICU接受护理.
- 观察到机械通风使用 (56%-91%) 和死亡率 (8%-16%) 的区域差异很大.
结论:
- 在瑞典,aSAH患者的特征和治疗途径在NICU和一般ICU之间有所不同.
- 观察到的护理方面的区域差异表明,实施国家共识和对aSAH标准化治疗指南可能会带来潜在的好处.
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