在麻醉后康复室和随后的严重行为紧急情况中,过度和激动之间的关联
Mary Labib1, Atousa Deljou1, Robert J Morgan2
1From the Departments of Anesthesiology and Perioperative Medicine.
Journal of patient safety
|August 27, 2024
概括
在麻醉后护理单位 (PACU) 中,麻醉后的激动和过度静止增加了需要在外科病房激活住院行为紧急响应小组 (BERT) 的行为障碍风险. 警PACU中改变精神状态至关重要.
科学领域:
- 麻醉学 麻醉学
- 精神病学是一个精神病学.
- 医疗保健管理的管理
背景情况:
- 基于医院的行为应急响应小组 (BERT) 管理患者的急性行为障碍.
- 在麻醉后护理单位 (PACU) 的精神状态改变可能预测手术病房的后续行为问题.
研究的目的:
- 调查PACU中精神状态变化与外科病房BERT激活需求之间的关联.
- 为了确定手术患者中BERT激活的风险因素.
主要方法:
- 对2018年5月至2020年12月入院PACU的成年外科患者电子病历的回顾性审查.
- 需要BERT激活的患者和一般外科患者之间的特征比较.
主要成果:
- 每1000例入院患者中有2.4例发生BERT激活 (133例患者中有178例激活).
- BERT激活的危险因素包括年龄较大 (>50),年龄较小 (30对50),男性性别,更长的程序,以及PACU中精神状态的改变 (中度/深度镇静或激动/战斗状态).
- 在PACU中的煽动/战斗状态显著增加了BERT激活风险 (OR = 8.47).
结论:
- 在PACU中,早期的术后激动和过度静止与外科病房的BERT激活有关.
- 对PACU精神状况向接收单位进行有效的沟通对于积极的患者监测和潜在行为障碍的管理至关重要.
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