静脉输液透的特征和与不良事件相关的因素:一个多中心的回顾性研究
Jessica L Duggan1, Aron Lechtig1, Ian T Watkins1
1Harvard Combined Orthopaedic Residency Program, Boston, MA, USA.
概括
周围静脉注射 (PIV) 透存在风险. 集中治疗室的入院和输管状态与不良事件有关,有助于早期风险分层,以获得更好的患者结果.
科学领域:
- 医疗并发症 医疗并发症
- 患者安全 患者安全
- 静脉注射疗法 静脉注射疗法
背景情况:
- 周围静脉注射 (PIV) 透和外流是静脉注射液体的常见并发症.
- 识别严重不良事件的危险因素对于及时的外科咨询至关重要.
研究的目的:
- 调查PIV透后与重大不良事件相关的风险因素.
- 帮助在需要早期手术咨询的患者的风险分层.
主要方法:
- 在三所学术医院对已记录PIV透或扩散事件 (2015-2022) 的患者进行了回顾性分析.
- 主要不良事件被定义为需要操作管理的全厚伤害;轻微事件被定义为表面伤害.
- 分析患者的人口统计,手术咨询和结果.
主要成果:
- 包括160名患者;平均年龄为64.1岁. 主要不良事件发生在4.4%,轻微事件发生在11.3%.
- 进入重症监护室 (ICU) 和当前输管状态与不良事件有显著的相关性 (P=.02,P=.03).
- 目前的输入管状态与操作管理有显著联系 (P=.001).
结论:
- 集中治疗室的入院和输管状态是PIV透后不良事件的重要风险因素.
- 通过描述这些事件,可以促进早期识别高风险患者.
- 需要进一步研究不同类型的液体 (粘性与非粘性) 的透风险.
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