2019年新冠病毒病住院后补充氧气处方 2019年新冠病毒病住院后补充氧气处方
Zaidan Mf1, Puebla Neira DA2, Lau C2
1Division of Pulmonary Critical Care and Sleep Medicine, University of Texas Medical Branch, Galveston, TX, United States.
Heart & lung : the journal of critical care
|November 5, 2024
概括
住院患有2019年冠状病毒病 (COVID-19) 肺炎的患者在出院后接受家庭氧气处方的可能性是非COVID肺炎患者的四倍. 这凸显了COVID-19幸存者持续呼吸支持的重大需求.
科学领域:
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 家庭氧气治疗在COVID-19肺炎恢复中的作用尚不清楚.
- 气体交换受损是COVID-19肺炎的一个常见特征.
研究的目的:
- 为了比较COVID-19和非COVID-19肺炎患者住院后的家庭氧气处方模式.
- 分析接受和继续家庭氧气治疗的特征,持续时间和可能性.
主要方法:
- 使用Optum Clinformatics Data Mart数据库进行的回顾性队列研究 (2020年4月至2021年3月为COVID-19;2019年1月至2019年12月为非COVID).
- 确定了52951名COVID-19肺炎患者和26701名非COVID肺炎患者.
- 利用倾向性得分匹配和考克斯回归来比较基于医疗保健共同程序编码系统代码的出院后的氧气使用情况.
主要成果:
- 患有COVID-19肺炎的患者接受家庭氧气处方的可能性是四倍 (OR 4.22).
- 这种增加的可能性在子组中持续存在,包括ICU患者和接受机械通风的人.
- 西班牙裔患者在出院后获得补充氧气的几率最高 (OR 6.75).
结论:
- 五分之一的COVID-19患者接受了住院后的氧气处方,远远超过非COVID-19肺炎患者.
- 这些发现强调了COVID-19幸存者的长期呼吸支持需求.
- 需要进一步的研究来确定COVID-19恢复的最佳家庭氧气治疗方案.
更多相关视频
相关概念视频
01:16Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
175
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
175
01:30Administering Oxygen by Mask
250
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
250
01:16Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
369
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
369
01:29Administering Oxygen by Nasal Cannula
390
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
390
01:26Oxygen Delivering System I: Nasal Cannula and Face Mask
247
The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
247
01:28Pneumonia IV: Management
300
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
300