上肢穿透血管损伤的死亡率预测因素
Justine S Broecker1, A Hsu2, M Kochuba2
1Department of Surgery, Mayo Clinic Florida, Jacksonville, FL.
Annals of vascular surgery
|December 28, 2024
概括
手术修复显著降低了上肢穿透血管损伤 (UEPVI) 患者的死亡率. 伤害严重程度和年龄预测那些接受手术的人在医院住院时间更长.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 紧急医疗 紧急医疗
背景情况:
- 上肢穿透血管损伤 (UEPVIs) 在创伤护理中提出了独特的挑战.
- 了解风险因素和结果对于优化患者管理至关重要.
研究的目的:
- 确定与UEPVI相关的风险因素.
- 评估UEPVI患者的手术结果,包括死亡率和停留时间.
主要方法:
- 在一级创伤中心 (1986-2019) 的成年UEPVI患者的回顾性审查.
- 统计分析以确定死亡率和住院时间 (LOS) 的预测因素. 手术后修复.
主要成果:
- 大多数UEPVI患者是男性,白人,没有保险/保险不足,伤害往往是暴力造成的.
- 与男性相比,女性患者的伤害严重程度较高,但死亡率较低.
- 手术修复与死亡率的几率比率显著降低 (0.20).
- 伤害严重性评分 (ISS) 是手术患者中较长时间的LOS的重要预测指标.
结论:
- UEPVI主要影响男性,并且经常与暴力事件有关.
- 手术干预表明,它对UEPVI患者的死亡率有保护作用.
- 晚年和更高的ISS与经过手术修复后的长时间住院有关.
相关概念视频
Arteries of the Upper Limbs
412
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
412
Assessment of the Cardiovascular System III: Palpation
190
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
190
Pre-Procedural Guidelines for Assessing Blood Pressure
520
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
520


