洞察创伤患者的VTE风险:一项针对爱尔兰创伤患者群体的观察性研究
Bibi Ayesha Bassa1,2, Elizabeth Little3, Francis O Keefe3
1School of Postgraduate Studies, Royal College of Surgeons in Ireland, Dublin 2, Ireland. bibibassa22@rcsi.ie.
Irish journal of medical science
|January 17, 2025
概括
这项研究发现,爱尔兰创伤患者的静脉血栓栓塞 (VTE) 发生率较低. 这些发现凸显了对该群体的VTE风险和预防策略的重新评估的需要.
科学领域:
- 创伤护理的护理人员.
- 血管医学是一种血管医学.
- 流行病学 流行病学
背景情况:
- 创伤患者的静脉血栓塞栓症 (VTE) 发生率在现有文献中差异很大.
- 了解VTE发生率,时间和创伤模式对于有效管理至关重要.
- 这项研究解决了对创伤群体VTE精确数据的需求.
研究的目的:
- 为了确定创伤患者在七年期间的静脉瘤发病率.
- 评估VTE事件的时间和性质,包括肺栓塞 (PE) 和深静脉血栓塞 (DVT).
- 探索PE和DVT同时发生的模式,考虑临床护理和结果.
主要方法:
- 对2014年至2020年期间入院的18岁及以上创伤患者的回顾性评估.
- 从TARN数据库,PACS和医院记录中提取数据.
- 隐性类别分析以根据临床管理和静脉瘤结局确定患者子组.
主要成果:
- 观察到的VTE发生率为0.0036例/人/年.
- 冠状动脉瘤阳性患者主要是男性,年龄较大,受伤严重程度较高,住院时间较长.
- 大多数VTE事件只涉及PE (64%),大多数DVT是近邻的 (64%).
结论:
- 这是对爱尔兰创伤患者VTE发病率的最大研究.
- 调查结果表明,需要重新考虑创伤护理中的VTE风险评估和预防策略.
- 这项研究为改善创伤人群中静脉瘤预防方案提供了基础.
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