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使用布雷登分数评估妄和败血症死亡风险:一项回顾性研究
Xinya Li1, Yonglan Tang1, Zihong Bai2
1School of Nursing, Jinan University, Guangzhou, China.
Journal of clinical nursing
|October 11, 2024
概括
布拉登分数有效地识别出患有血症的妄和死亡风险较高的血症患者. 这种简单的工具有助于临床医生在早期风险分层和干预中获得更好的患者结果.
科学领域:
- 关键护理医学 关键护理医学
- 老年病的医生 老年病的医生
- 护理研究 护理研究
背景情况:
- 败血症相关妄症 (SAD) 复杂化了患者的预后,带来了重大的临床挑战.
- 早期识别和管理SAD风险因素对于改善结果至关重要.
研究的目的:
- 评估布拉登分数作为一种工具,用于早期识别高风险败血症患者.
- 评估布拉登分数,妄想发育和败血症死亡率之间的关联.
主要方法:
- 对28312名在重症监护室 (ICU) 的成年败血症患者的回顾性分析.
- 分层分为高风险 (布拉登分数≤15) 和低风险 (>15) 组.
- 后勤回归和生存分析以确定与妄想和死亡率的关联.
主要成果:
- 高风险的布拉登评分患者表现出明显更高的妄想率 (44.8%与29.7%相比).
- 在高危人群中观察到90天和180天死亡率的增加 (p < 0.001).
- 经过调整后的分析证实,高风险患者的 Delirium 风险增加了 1.54 倍,存活日数减少.
结论:
- 布雷登评分作为一种简单,有效的工具,用于早期识别败血症的风险.
- 临床护士可以利用布拉登得分来评估败血症患者早期的预后.
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