在印度重症监护病房存在的盐基或平衡溶液趋势:多中心前性观察队列研究 (SOLUTE研究)
Sachin Gupta1, Subhal Dixit2, Deeksha S Tomar1
1Department of Critical Care Medicine, Narayana Superspeciality Hospital, Gurugram, Haryana, India.
概括
均衡盐溶液 (BSS) 是印度ICU中首选的静脉注射液,与正常盐水 (NS) 相比,显示出更好的结局和存活率. 使用BSS与急性损伤 (AKI) 发生率降低和住院时间缩短有关.
科学领域:
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 静脉注射液体疗法是一种静脉注射液体疗法.
背景情况:
- 液体管理是重症监护室 (ICU) 管理的基石.
- 常规盐水 (NS) 经常是首选的静脉注射液.
- 了解目前的流体实践及其对印度ICU脏结果的影响至关重要.
研究的目的:
- 调查目前在印度ICU注射液体的做法.
- 为了比较与不同静脉注射液相关的结局,包括正常盐水 (NS),林格斯乳酸盐 (RL) 和平衡盐溶液 (BSS).
- 评估液体选择对急性损伤 (AKI) 发生率,停留时间 (LOS) 和生存率的影响.
主要方法:
- 一项多中心前性观察性研究,在2020年5月至2023年1月期间在印度144个ICU中进行.
- 收集关于液体管理实践和患者结果的数据.
- 使用SPSS软件进行的统计分析.
主要成果:
- 均衡盐溶液 (BSS) 与急性损伤 (AKI) 的发生率较低,与正常盐水 (NS) 和林格的乳酸盐 (RL) 相比.
- 接受BSS治疗的患者经历了更短的ICU和住院时间 (LOS).
- 在BSS组 (79.44%) 与NS组 (63.3%) 相比,ICU存活率显著更高,特别是在AKI患者中.
结论:
- 均衡盐溶液 (BSS) 是重症患者的首选静脉注射液,因为它具有安全的功能.
- BSS的使用与改善结局,减少AKI发病率以及更短的医院和ICU LOS有关.
- 该研究强调了BSS在印度ICU环境中比NS更有好处.
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