息治疗和COVID-19:承认过去的错误,打造一个更美好的未来
Camila Rabelo Monteiro de Andrade1, Fernanda Silva Trindade Luz2, Neimy Ramos de Oliveira3
1Centro Universitário de Belo Horizonte, UniBH. Av. Professor Mário Werneck, Belo Horizonte, Brazil.
Frontiers in medicine
|August 9, 2024
概括
息治疗 (PC) 适用于一小部分COVID-19患者. 接受PC治疗的患者的治疗结果更差,死亡率更高,这表明在终身护理期间的晚期启动.
科学领域:
- 医学研究 医学研究
- 抚慰性护理是一项非常重要的护理.
- 传染病 传染病 传染病 传染病
背景情况:
- COVID-19造成了严重的身体,心理和社会痛苦.
- 息治疗 (PC) 可能会减轻COVID-19患者的痛苦.
研究的目的:
- 为了比较COVID-19患者的临床特征和结果,有和没有PC的指示.
- 为了分析不同流行病浪潮中的这些差异.
主要方法:
- 追溯多中心观察队列研究 (2020年3月至2022年8月).
- 包括来自40家医院的21,158名COVID-19患者.
- 根据医疗记录的指示,将患者分为息治疗组 (PCG) 和非息治疗组 (NPCG).
主要成果:
- 只有6.7%的患者有注册的PC适应症.
- PCG患者年龄较大,患上更多的并发症,虚弱,并发症,死亡率显著增加 (81.4%与17.7%相比).
- 在所有流行病浪潮中,PCG患者获得了更多的人工生命支持,包括透析,机械通风和ICU入院,在所有流行病浪潮中一致.
结论:
- 很少有COVID-19患者得到及时的息治疗.
- 用PC治疗的患者经历了较差的结果和较高的死亡率.
- 在PCG中增加的人工生命支持表明PC是晚期启动的,通常是在生命末期或治疗失败场景中.
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