[由于SARS-CoV-2感染而经过长期通风后的长期断奶:多中心回顾分析]
Florian Geismann1,2, Lucas Braunschmidt1, Arno Mohr1,2,3
1Zentrum für Pneumologie, Klinik Donaustauf, Donaustauf, Deutschland.
Pneumologie (Stuttgart, Germany)
|August 15, 2024
概括
由于COVID-19而导致侵袭性通风的长期断奶患者的死亡率较低,与对照组相比较. 释放后的长期存活率令人鼓舞,特别是那些获得ECMO支持的人.
科学领域:
- 临界护理医学 临界护理医学
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- 一些COVID-19患者需要侵入性通风.
- 从机械通风中长期断奶是一个重大的临床挑战.
研究的目的:
- 为了评估长期断奶的COVID-19患者的结果.
- 将这些结果与历史对照组进行比较.
主要方法:
- 分析了来自四个中心的长期断奶 (肺炎,急性呼吸衰竭) 的751名患者队列.
- 患者从"WeanNet"注册表 (2011-23年) 中抽取,并与对照组匹配.
主要成果:
- 住院死亡率为8.3% (2.7%与ECMO相比9.6%没有).
- 在释放时成功断奶的比例为84% (对照组为77%).
- 12个月的整体死亡率为20.6% (5.6%使用ECMO vs. 24.6%没有).
结论:
- 长期断奶的COVID-19患者的呼吸率较低 (8.3%),长期存活率高 (第一年超过80%).
- 身体外膜氧化 (ECMO) 与显著降低死亡率有关.
- 结果与历史对照组相似,表明有效的管理策略.
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