在麻醉后护理单位内与长期住院患者相关的因素:一组队列回顾性研究
Leen Alghamdi1, Razan Filfilan1, Arwa Alghamdi1
1College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Cureus
|June 11, 2024
概括
喘,疼痛和精神状态的改变是导致长时间停留在麻醉后护理单位 (PACU) 的关键因素. 识别这些问题可以帮助减少延长的PACU停留时间 (LOS) 并改善患者的护理.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 麻醉后护理单位 (PACU) 对于术后患者的康复至关重要.
- 一小部分患者在PACU中经历了长时间停留 (≥90分钟),影响了患者的福祉和医院的工作流.
- 识别与长期PACU停留时间 (LOS) 相关的因素对于优化护理至关重要.
研究的目的:
- 调查导致术后患者长时间停留PACU的因素.
- 为了确定与扩展PACU LOS相关的特定患者条件和外科特征.
- 为预防和管理长期PACU停留的战略提供信息.
主要方法:
- 在2020-2021年间对术后患者进行的回顾性队列研究.
- 包括长期停留在PACU的患者,不包括心脏病,计划长期停留和ICU转移.
- 从医院的信息系统中采集的数据,使用标准化数据表.
主要成果:
- 1.19% (181/15,170) 的患者经历了长时间的PACU停留.
- 疼痛 (P=0.035) 和精神状态改变 (P=0.0009) 与长时间的PACU LOS有显著的关联.
- 喘是唯一与长期PACU停留有显著联系的并发症 (P=0.003);手术类型/持续时间没有显著关联.
结论:
- 喘,疼痛和精神状态的改变是长期PACU LOS的重要预测因素.
- 针对这些因素的有针对性的干预措施可以减少长时间的PACU停留.
- 通过因素识别优化PACU护理可以改善患者的治疗结果.
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