与延迟入院烧伤单元相关的因素:一个主要的烧伤中心的经验
Artur Manasyan1, Nicolas Malkoff1, Brigette Cannata1
1Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Burns : journal of the International Society for Burn Injuries
|October 24, 2024
概括
延迟烧伤病房入院与无家可归和药物滥用等社会因素有关. 这种延迟增加了对重症监护和机械通风的需求,但并没有增加死亡率.
科学领域:
- 烧伤护理研究研究
- 创伤外科手术是什么
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 及时的烧伤单元入院对于最佳的患者结果至关重要.
- 及时干预包括伤口护理,温度管理,感染控制和液体复苏.
- 延迟护理可能会导致并发症,如烧伤进展和感染.
研究的目的:
- 确定与延迟进入区域烧伤中心相关的因素.
- 为了确定与延迟烧伤护理相关的结果.
主要方法:
- 对2015年1月至2023年12月期间入院的3137名患者的回顾性图表审查.
- 进行了描述性统计,韦尔奇的t测试和奇方位分析.
- 多重后勤回归研究了延迟入院与ICU停留,通风和死亡率之间的关联.
主要成果:
- 36.6%的患者经历了延迟入院 (>24小时).
- 与延迟相关的因素包括男性性别,无家可归,药物滥用,缺乏保险,单身和独自生活.
- 延迟入院与增加的ICU住院和机械通风需求相关 (分别p < 0.001和p = 0.021).
- 在延迟入院和死亡率之间没有发现显著的关联 (p = 0.232).
结论:
- 无家可归,药物滥用和有限的社会支持等社会人口统计因素与延迟入院的燃烧单元有显著联系.
- 了解这些因素对于制定有针对性的干预措施至关重要.
- 干预措施可以改善易受烧伤患者的结果,增强康复和长期结果.
相关概念视频
01:22Burn Injuries
2.4K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.4K
01:28Factors Affecting Body Temperature
3.9K
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
3.9K
01:23Acute Respiratory Failure-IV
129
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
129
01:21Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K
01:30Acute Respiratory Failure-III
161
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
161
01:21Acute Respiratory Failure-II
174
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
174