静脉血栓塞栓症严重烧伤患者与血管内加热导管:一个回顾性队列研究
Isabella Reid1, Hadley Bortz2, Aidan Burrell3,4
1Victorian Adult Burns Unit, The Alfred Hospital, Melbourne, VIC 3004, Australia.
European burn journal
|November 27, 2024
概括
使用血管内加热导管的严重烧伤患者经历了20%的静脉血栓栓塞 (VTE) 率. 这些VTE事件中只有一半可能与导管有关,这凸显了需要仔细评估风险的必要性.
科学领域:
- 医疗器械 医疗器械
- 关键护理医学 关键护理医学
- 燃烧管理 燃烧管理
背景情况:
- 血管内加热导管对于在严重烧伤患者中维持正常热量是有效的.
- 然而,它们的使用可能与潜在的并发症有关.
研究的目的:
- 为了确定可能与导管相关的静脉血栓塞栓症 (VTE) 的发生率,在严重烧伤患者与血管内加热导管.
- 在这个患者群体中识别与VTE相关的风险因素.
主要方法:
- 维多利亚成人烧伤服务的回顾性队列研究 (2013年1月 - 2018年7月).
- 纳入标准:严重烧伤 (TBSA> 20%) 和ICYTM血管内加热导管的使用.
- 通过手动医疗记录审查和中央VTE编码数据库收集的数据.
主要成果:
- 在四十名患者中,有八名 (20%) 患有静脉瘤.
- 四个 (10%) 的VTE病例可能与导管有关.
- 鉴定出有助于VTE的风险因素包括低于最佳的抗凝剂,延长导管持续时间和血液度.
结论:
- 在带有血管内加热装置的严重烧伤患者中观察到显著的VTE发病率 (20%).
- 大约一半的VTE可能与导管相连.
- 强调在使用这些设备之前需要进行个性化风险益处评估.
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