在老年创伤重症监护室早期息治疗评估后的临床结果
Monica Masterson1, Krystal Hunter1, Tanya Egodage1
1Cooper Medical School of Rowan University, Cooper University Health Care, Camden, New Jersey.
The Journal of surgical research
|August 17, 2024
概括
对老年创伤患者的早期息护理 (EPC) 可以减少重症监护室 (ICU) 停留时间和侵入性手术,而不会增加死亡率. 这种方法还有助于澄清护理的目标,改善患者的治疗结果,并可能降低成本.
科学领域:
- 老年人创伤护理 创伤护理
- 抚慰性医学是一种缓解性医学.
- 关键护理医学 关键护理医学
背景情况:
- 老年创伤患者面临更高的不良结果风险.
- 研究了在ICU入院72小时内的早期息治疗 (EPC) 评估.
- 假设是EPC将减少侵入性手术,而不会影响医院死亡率.
研究的目的:
- 评估早期息护理 (EPC) 对老年创伤患者结果的影响.
- 为了确定EPC是否影响住院时间 (LOS) 和侵入性手术的数量.
- 评估EPC对医院死亡率和终身护理决策的影响.
主要方法:
- 追溯性对创伤患者的队列评估 65 岁或以上的创伤患者被录入ICU.
- 纳入标准:接受正式息治疗评估的患者.
- 评估结果:ICU LOS,医院 LOS,机械通风持续时间,代码状态变化,侵入性手术,死亡率和维持生命护理的停止.
主要成果:
- EPC与显著下降的ICU LOS (3对9天) 和医院LOS (3对11天) 相关.
- 接受EPC治疗的患者在机械通风的日数更少,气管切除和皮肤内镜胃口切除管的放置也更少.
- 两组之间在终止维持生命护理或住院死亡率方面没有发现显著差异.
结论:
- 老年创伤患者的早期息治疗 (EPC) 与减少LOS和减少侵入性干预有关.
- EPC似乎没有改变住院死亡率.
- 关于代码状态的早期讨论有利于减少徒劳的干预和医院费用,保证在这个人口群体中进一步标准化息护理.
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