在患有深部感染患者的重症监护病房转移
Yu-Cheng Hung1, Chia-Ying Ho1,2, Kai-Chieh Chan1,3
1School of Medicine, Chang Gung University, Taoyuan, Taiwan.
Ear, nose, & throat journal
|September 12, 2024
概括
患有高C反应蛋白 (CRP) 水平和中炎的老年患者更有可能需要因深部感染 (DNI) 进入重症监护室 (ICU). 这导致更长的住院时间和气管切除术率的增加.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
背景情况:
- 深部感染 (DNI) 是一种严重的疾病,可以危及呼吸道.
- 患有严重DNI的患者可能需要进入重症监护室 (ICU).
- 在DNI患者中,ICU入院的风险因素尚未得到充分确定.
研究的目的:
- 在被诊断为DNI的患者中,确定与ICU转移相关的风险因素.
- 分析临床和实验室参数,预测在DNI病例中需要重症监护的需要.
主要方法:
- 从2018年10月到2023年10月,对350名成年DNI患者进行了回顾性分析.
- 评估临床和实验室数据,包括年龄,C反应蛋白 (CRP) 和血糖水平.
- 单变量和多变量后勤回归分析以确定ICU转移的独立风险因素.
主要成果:
- 年龄较大,CRP水平升高和中炎被确定为ICU转移的独立风险因素.
- 转移到ICU的患者经历了显著更长的住院时间和更高的气管切除率.
- 在单变量分析中,涉及三个或更多深间的部空间是显著的风险因素.
结论:
- 老年患者,高CRP水平患者和中炎患者患DNI的ICU入院风险增加.
- 对DNI的ICU入院与长时间住院和更大的气管切除术需要有关.
- 临床评估应纳入这些因素,以指导及时的ICU转移和气道管理决策.
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