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体外膜氧化在儿科创伤中的使用:来自国家创伤数据库的报告
Mahmoud G El Baassiri1, Eric Etchill1, Charbel Chidiac1
1Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Journal of pediatric surgery
|January 8, 2025
概括
在儿科创伤中,体外膜氧化 (ECMO) 的使用增加了,受伤严重程度得分更高,并与增加的死亡率相关的烧伤或内出血等特定伤害. 对于严重受伤的儿童来说,ECMO仍然是一个可能至关重要的干预措施.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 身体外膜氧化 (ECMO) 是一种方法.
- 关键护理医学 关键护理医学
背景情况:
- 创伤中的儿科外体膜氧化 (ECMO) 指示正在发展.
- 本研究研究了ECMO在受伤儿童中的使用趋势和结果.
- 使用国家创伤数据库 (NTDB) 进行全面的数据分析.
研究的目的:
- 评估儿童创伤患者ECMO应用的当前趋势.
- 在这个人群中确定与住院死亡率相关的因素.
- 评估二次结果,包括停留时间和并发症.
主要方法:
- 对接受ECMO的儿科创伤患者 (≤18岁) 的回顾性评估.
- 来自国家创伤数据库 (NTDB) 的数据涵盖了2007-2018年.
- 多变量回归分析以确定死亡率预测因素.
主要成果:
- 在2013-2018年期间,ECMO的使用量显著增加 (79.2%).
- 总体而言,住院死亡率为37.3%,受伤严重程度得分 (ISS) 和烧伤受伤作为重大风险因素较高.
- 心脏骤停,未指明的内出血 (ICH) 和故意伤害也与死亡率的增加相关.
结论:
- 这项研究代表了对儿科创伤ECMO使用的最大分析.
- 诸如ISS,心脏骤停,烧伤和ICH等因素显著影响ECMO后的死亡率.
- 越来越多的ECMO使用表明其在治疗严重儿科创伤方面的潜在有效性.
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