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在PICU的输出失败:虚拟儿科系统数据库研究,2017-2021年
Francis Y Kim1, Gerardo Soto-Campos2, Jamie Palumbo2
1Department of Pediatrics, Section Pediatric Critical Care Medicine, Helen DeVos Children's Hospital - Corewell Health. Michigan State University College of Human Medicine, Grand Rapids, MI.
儿科重症监护室 (PICU) 的输出失败率在2017年至2021年之间有所改善. 在此期间,非侵入性呼吸辅助的使用也增加了,尽管其临床益处需要进一步研究.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 呼吸系统疗法 呼吸系统疗法
- 机械通风管理系统的管理
背景情况:
- 儿科重症监护室 (PICU) 的输出失败 (EF) 需要重新输入,影响患者的结果.
- 标准化协议和非侵入性支持旨在优化从机械通风 (MV) 中解放.
研究的目的:
- 审查2017年至2021年PICU患者的输出失败率,失败的时间和非侵入性呼吸支持后输出失败的利用情况.
主要方法:
- 追溯分析了136个PICU中的111,229次计划的输出管,这些输出管为虚拟儿科系统 (VPS) 数据库 (2017-2021) 提供了贡献.
- 纳入标准侧重于在机械通风后接受计划性输出管的患者.
主要成果:
- 整体输出失败率 (EF48,EF72,EF96) 分别为4.6%,5.3%和5.8%.
- 较高的EF率与年轻的年龄,遗传条件,并发症,心脏手术,更高的儿科死亡风险III分数和更长的MV持续时间有关.
- 在2017年至2021年期间,鼻腔大管高流量氧气疗法的使用在输出管后增加了,从16.6%增加到20.2%.
结论:
- 儿科重症监护病房在2017-2021年间观察到出失败率有所改善.
- 观察到,随之而来的是,术后非侵入性呼吸辅助的使用量同步增加.
- 需要进一步的研究来评估这些趋势在PICU实践中的临床影响.
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