在ICU获得的高血症:患病率,患者特征,轨迹,危险因素和结果
Ahmad Nasser1,2, Anis Chaba3,4, Kevin B Laupland5,6
1Intensive Care Unit, Queen Elizabeth II Jubilee Hospital, Coopers Plains, QLD, Australia.
概括
在重症监护室获得的高血 (ICU-AH) 影响7.5%的患者,与可修改的风险和增加的死亡率有关. 及时识别和管理对于在重症监护机构中改善患者结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學.
- 流行病学 流行病学
背景情况:
- 在重症监护室获得的高血 (ICU-AH) 是一个常见的并发症.
- 之前的研究缺乏细粒度数据和一致的定义,阻碍了理解.
研究的目的:
- 调查ICU-AH的患病率,患者特征,风险因素和结果.
- 分析重症患者中高血症的轨迹和纠正率.
主要方法:
- 一项多中心回顾性队列研究,涉及2015年至2021年55,255名成年ICU入院者.
- 根据血清水平,患者被分为轻度,中度和严重的ICU-AH.
- 进行了统计分析,以确定独立的风险因素和死亡率关联.
主要成果:
- 集中护理-AH发生在7.5%的入院患者中,轻度,中度和重度影响分别为4.8%,1.9%和0.73%.
- 独立的危险因素包括APACHE III评分,侵入性通风,发烧和利尿剂使用.
- 所有的高血量都与增加的30天住院死亡率独立相关.
结论:
- 集中护理-AH是常见的,发生在大约八分之一的入院中,具有可识别和可修改的风险因素.
- 严重的ICU-AH表现出缓慢的纠正率和延迟的正常化.
- 超血症,无论严重程度如何,都会独立增加危急病患者30天死亡的风险.
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