在重症监护室的COVID-19大流行期间的压力:一个多中心队列研究
Paulo Alves1, Carina Bååth2, Tânia Manuel1
1Universidade Católica Portuguesa | Wounds Research Lab - Centre for Interdisciplinary Research in Health, Portugal; Universidade Católica Portuguesa | School of Nursing of the Institute of Health Sciences, Porto, Portugal; Portuguese Wound Management Association (APTFeridas), Portugal.
Journal of tissue viability
|June 27, 2024
概括
患有COVID-19的患者在ICU中患有压力的风险更高. 医疗保健提供者应考虑COVID-19状态,年龄,机械通风,血管压缩剂和停留时间在PU风险评估中.
科学领域:
- 密集护理医学 密集护理医学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- COVID-19大流行在重症监护室 (ICU) 带来了前所未有的挑战.
- 压力 (PUs) 对重症患者来说是一个重大问题,可能会增加发病率和死亡率.
- 了解疫情期间的PU发展对于优化患者护理至关重要.
研究的目的:
- 为了确定COVID-19大流行期间ICU患者的压力 (PU) 的流行率和发病率.
- 在这个特定的患者队列中确定与PU发展相关的风险因素.
主要方法:
- 一项回顾性队列研究使用来自瑞典和葡萄牙的两个ICU的电子健康记录进行.
- 分析了2020年3月至2021年4月期间入院的成年重症监护患者的数据.
- 风险因素的流行率,发病率和赔率比率是使用多变量逻辑回归计算的.
主要成果:
- 该研究包括1717名患者,整体PU流行率为15.3%,ICU获得的PU发病率为14.1%.
- 大多数PU属于2或3类,位于前身.
- 发育PU的关键风险因素包括年龄较大,患有COVID-19 (OR=1.58),机械通风 (OR=1.49),血管压力剂 (OR=1.31),低布拉登得分 (≤16,OR=1.63) 和更长的逗留时间.
结论:
- 与非COVID-19患者相比,COVID-19阳性患者在ICU中患PU的风险增加.
- 综合性风险评估应包括COVID-19状态,年龄,机械通风,血管压缩剂和预计停留时间,以及传统的风险评分和临床评估.
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