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创伤患者异常生命体征的发生率,严重程度和变化:基于全国人口的分析
Ingrid Aalberg1, Trond Nordseth2, Pål Klepstad3
1Department of Circulation and Imaging, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway.
Injury
|September 26, 2024
概括
大多数创伤患者出现正常的生命体征. 格拉斯哥昏迷量表 (GCS) 的低得分是最常见的异常,特别是在30天死亡率的患者中.
科学领域:
- 创伤护理的护理人员.
- 紧急医疗 紧急医疗
- 身体生理学 身体生理学
背景情况:
- 生理学标准对于评估早期创伤严重程度至关重要.
- 有限的国家数据存在于创伤患者的生命体征异常及其组合.
- 了解医院前至急诊室 (ED) 的生命体征变化至关重要.
研究的目的:
- 为了识别和描述创伤患者的生理异常.
- 描述异常生命体征的组合.
- 在医院前和急救机构之间分析生命体征的变化.
主要方法:
- 利用了2015-2018年的挪威创伤登记 (NTR) 数据.
- 评估了异常呼吸速率 (RR),缩血压 (SBP) 和格拉斯哥昏迷表 (GCS) 的流行率.
- 定义的初级结局:低通风 (RR<10),高通风 (RR>29),低血压 (SBP<90) 和意识减弱 (GCS<13).
主要成果:
- 分析了24,482名患者;生命体征数据的完整性从医院前改善到ED.
- 14.8%的患者在医院前和ED环境中至少有一种异常生命体征.
- 与高通风相结合的低GCS是最常见的;30天死亡率为3.1%,死亡患者中有60.8%的生命体异常,主要是低GCS.
结论:
- 大多数创伤患者表现出正常的生命体征.
- 很少有患者在医院前和ED护理之间出现RR,SBP或GCS恶化.
- 低GCS是最常见的异常,在30天内死亡的患者中更为普遍.
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