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飞行员指挥官是否正确选择分数? 基于PIC修改的入学评估一个单一机构的回顾性队列研究

Courtney H Meyer¹, Mari Freedberg², Janelle Tanghal³

¹Emory University School of Medicine, Atlanta, GA, USA; Grady Health System, Atlanta, GA, USA; Rollins School of Public Health, Emory University, Atlanta, GA, USA.

|September 19, 2024

概括

经过修改的疼痛,鼓舞力,咳 (PIC) 评分可能会改善胸壁损伤的分类,减少重症监护室 (ICU) 日数和急性呼吸困扰综合征 (ARDS) 率. 这项研究验证了修改后的PIC得分.

科学领域:

创伤外科手术创伤外科
关键护理医学关键护理医学
临床选系统临床选系统

背景情况:

疼痛,鼓舞力,咳 (PIC) 评分是建立在胸壁损伤的预后.
缺乏基于PIC的分类系统的有效性,准确性和安全性的验证.
这项研究解决了评估用于临床应用的修改PIC得分的需要.

研究的目的:

评估修改后的PIC得分对胸壁受伤的创伤患者分类的影响.
评估修改后的PIC得分是否可以有效地降级患者,优化资源配置.
为了比较修改后的PIC分类工具在实施前和后的临床结果.

主要方法:

在一级创伤中心进行回顾性研究 (1/1/2018-10/31/2022).
在2020年1月12日实施修改的PIC分类工具 (PIC分数,年龄,伤害严重程度).
在PIC前 (n=2,627) 和PIC后 (n=2,212) 组之间的结果比较.

主要成果:

干预后,更多的患者被分组到中间护理,而不是ICU或地板.
在整体住院时间,呼吸机日,计划外的ICU入院或死亡率方面没有显著差异.
在后PIC组中,ICU停留时间,ARDS率和心脏骤停与ROSC显著减少.
多变量分析证实,干预后ARDS发病率较低,ICU无病日较多.

结论:

修改后的PIC分类系统显示了胸壁损伤患者改善临床结果的潜力.
结果表明,ICU利用率下降,ARDS发生率下降,心脏骤停率下降.
需要进一步的前性多中心研究来证实这些发现,并验证胸壁评分系统的影响.

关键词:

胸部墙壁上的胸部墙壁.胸部墙壁受伤的情况薄弱的胸部薄弱的胸部飞细分部分的飞.在PICIC中,您可以使用PIC.肋骨骨折肋骨骨折肋骨骨折肋骨骨折肋骨骨折肋骨分数肋骨分数肋骨分数

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