在急诊室胸腔切除术期间的职业暴露
Richard Preus1, Melody Zeidan2, Connor Posey1
1University of South Alabama Frederick P. Whiddon College of Medicine, Mobile, Alabama.
The Journal of surgical research
|December 17, 2024
概括
紧急部门胸腔切除术 (EDT) 显示,医疗保健工作者血液传播暴露的比例很高. 虽然手术室和ICU的生存率有所改善,但患者出院的生存率仍然很低,这凸显了需要更安全的协议的需要.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 职业健康 职业健康 职业健康
背景情况:
- 急诊室胸腔切除术 (EDT) 是一项关键的干预措施,重点关注患者的结果.
- 关于医疗保健工作者在EDT期间的职业暴露的数据有限.
- 这项研究将血液传播的暴露率与手术成功和患者结果进行比较.
研究的目的:
- 为了比较医疗保健工作者在急诊室胸切除术 (EDT) 期间通过血液传播的暴露的发生率与即时的程序成功.
- 评估患者的结果,包括在手术室 (OR),重症监护室 (ICU) 和医院出院的生存率.
- 分析职业暴露与患者存活率之间的关系.
主要方法:
- 从2019年1月到2023年1月对创伤登记册的回顾性审查.
- 包括所有接受EDT的创伤患者.
- 主要终点:职业暴露率 (粘膜或皮肤透射血液暴露);次要终点:生存到OR,ICU,出院,格拉斯哥昏迷评分和血液产品输血.
主要成果:
- 在58次EDT中,有17%的医疗保健工作者报告了职业暴露.
- 41%的患者被复苏并转移到OR或ICU.
- 3%的患者存活到医院出院;报告暴露的患者的生存率较低.
结论:
- 在EDT期间卫生保健工作者暴露的发生率是显著的.
- 进入OR和ICU的生存率似乎高于之前报告的.
- 需要进一步的研究来加强培训和协议,以提高患者和医疗保健团队的安全性.
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