入院时的低温预测了成年创伤患者的不良结果
Anna Mary Jose1, Aryan Rafieezadeh1, Muhammad Zeeshan1
1Westchester Medical Center, New York Medical College, Valhalla, NY, United States.
Injury
|December 10, 2024
概括
创伤患者的低温症显著增加并发症和死亡率. 重温干预措施有望改善结果,即使是轻微的病例.
科学领域:
- 创伤护理的护理人员.
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
背景情况:
- 低温是已知的因素,与创伤患者的不良结果相关.
- 这项研究旨在调查低温对成人创伤病例的住院并发症和死亡率的影响.
研究的目的:
- 评估低温对成人创伤患者入院的影响.
- 评估低温和住院并发症和死亡率之间的关联.
主要方法:
- 对ACS-TQIP数据库 (2017-2021) 的五年追溯分析.
- 排除具有不完整数据,烧伤,设施间转移或DOA的患者.
- 抵达时低温 (<35°C) 和正常热 (≥35°C至≤40°C) 的定义.
- 多变量回归分析以确定独立的关联.
主要成果:
- 在3,043,030名创伤患者中,只有1%患有低温症.
- 低温患者在住院并发症 (17.1%对4.5%) 和死亡率 (23.4%对2.3%) 的比率更高.
- 低温独立地与死亡率增加 (OR: 1.934) 和更长的ICU/医院LOS相关.
结论:
- 医院前低温独立地与创伤患者的资源使用,并发症和死亡率增加有关.
- 低温预测高死亡率,即使在孤立的创伤性脑损伤 (TBI) 病例.
- 重温干预可以改善结果,减少死亡率和停留时间.
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