与倾斜定位相关的压力:在流行病中的流行病
Hassiel Aurelio Ramirez-Marin1, Irazu Contreras-Yañez2, Karin Ivette Campos-Jimenez1
1Dermatology Department, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City. Mexico.
Journal of wound care
|June 6, 2024
概括
压力 (PU) 的高发病率发生在患有倾斜定位 (PP) 呼吸器治疗的患者中. 肌酸酸酶和费里丁水平升高的男性更容易受到影响,但随着时间的推移,发病率下降.
科学领域:
- 关键护理医学 关键护理医学
- 伤口护理 伤口护理
- 患者安全 患者安全
背景情况:
- 倾向性定位 (PP) 呼吸器治疗对于急性呼吸困扰综合征 (ARDS) 是至关重要的.
- 压力 (PUs) 是重症患者的重要并发症,特别是那些接受PP的患者.
- 了解PU流行病学和这一群体的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 在接受PP呼吸器治疗的患者中调查PU的发病率和危险因素.
- 为了比较发病PU的患者和没有发病PU的患者之间的炎症标志物.
- 确定在这个患者群体中减少PU发病率的策略.
主要方法:
- 进行了一项观察性,描述性和纵向性研究.
- 收集了社会人口统计和实验室数据,这些数据来自于在重症监护区需要PP的患者 (2020年5月至10月).
- 分析包括PU发育,位置和相关患者特征.
主要成果:
- 在接受PP的240名患者中,有202名 (84.2%) 患有PU.
- 最常见的PU部位是头部/部 (n=115),部 (n=21),干 (n=21) 和下肢 (n=21).
- 患有PU的患者更常是男性,初始肌氨酸酸酶和费里水平较高;每月发病率从8.3%降至5.8%.
结论:
- 在接受PP呼吸器治疗的患者中观察到PU的高发病率.
- 男性性别和初始肌酸酸酶和费里丁水平升高与PU发育有关.
- 多学科的方法对于优化PU预防和治疗至关重要,因为大多数PU是可以避免的.
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