肺炎发病率和结果在患有动脉瘤下arachnoid 出血的患者:一个前性观察性研究
Ricardo Turon1, Pedro Kurtz1, Carla Rynkowski2
1Department of Neurointensive Care, Instituto Estadual do Cérebro Paulo Niemeyer - Rio de Janeiro (RJ), Brazil.
Critical care science
|January 29, 2025
概括
与静脉切除术相关的感染在动脉瘤下arachnoid出血患者中很常见. 这些感染在本研究中没有显著影响死亡率或功能结果.
科学领域:
- 神经外科 神经外科
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 动脉瘤下关节出血 (aSAH) 是一种危急的疾病,通常需要神经临床护理.
- 外腔室排水管 (EVD) 对于控制内压力至关重要,但具有感染风险.
- 与静脉切除术相关的感染 (VAI) 是神经临界护理环境中的一个重要问题.
研究的目的:
- 为了确定患有aSAH的患者中风口关联感染 (VAI) 的发生率.
- 评估VAI对死亡率和功能结果的影响.
- 确定改善VAI诊断和预防策略的领域.
主要方法:
- 从2015年7月到2020年12月,对成人aSAH患者需要EVD的前性队列研究.
- 每天收集临床和实验室数据,根据CDC/IDSA标准进行VAI诊断.
- 单变量和多变量分析,以比较VAI和无VAI患者之间的结果.
主要成果:
- 271名患有aSAH的患者接受了EVD; 47%的人患有VAI.
- 在VAI和非VAI组之间,医院或12个月死亡率没有显著差异.
- 在医院出院和12个月后,类似的功能不良结果 (修改的兰金尺度4-6).
结论:
- 与静脉切除术相关的感染是aSAH患者经常出现的并发症.
- 在这个队列中,VAI与增加的医院死亡率或功能结果受损无关.
- 提高诊断准确度和预防措施对于了解VAI的长期影响至关重要.
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