机械通风患者的呼吸器相关事件的危险因素:一个范围审查
Evy Dwi Rahmawati1,2, Dian Rizki Ramadhani1,3, Afrianti Pakalessy1
1Master in Nursing, Faculty of Medicine Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Nursing in critical care
|January 31, 2025
概括
呼吸器相关事件 (VAE) 增加死亡率. 这次审查确定了44个风险因素,包括意识下降和长时间的机械通风,以指导重症监护病人的预防策略.
科学领域:
- 关键护理医学 关键护理医学
- 预防传染病 预防传染病
- 患者安全 患者安全
背景情况:
- 呼吸器相关事件 (VAE) 与患者死亡率的增加有关.
- 识别VAE风险因素对于制定有效的预防策略至关重要.
- 之前对VAE风险因素的研究已经产生了不一致的发现.
研究的目的:
- 对现有证据进行全面的范围审查,以了解在重症监护室 (ICU) 患者中与VAE相关的风险因素.
- 综合和探索VAE的确定的风险因素.
主要方法:
- 从2024年3月26日至4月5日,在八个主要数据库中进行了系统搜索.
- 使用前后引用跟踪来确定其他相关研究.
- 纳入标准规定了成人参与者 (18岁以上),2013年至2024年期间以英语出版的研究,以及全文的可用性,导致19项分析的研究.
主要成果:
- 在包括的研究中,共确定了44种不同的VAE风险因素.
- 最常见的风险因素包括意识水平下降,慢性肺部疾病,侵入性手术和机械通风的持续时间.
- 其他发现的重大风险因素包括液体过载,再输液,肠道养,镇静和压力预防.
结论:
- 这次审查强调了VAE的许多潜在风险因素,尽管对一些风险因素的证据仍然不一致或有限.
- 需要进一步的研究来验证这些已识别的因素在VAE预防中的作用,并解决相互矛盾的发现.
- 临床实践应侧重于识别和管理这些风险因素在成人ICU患者的侵入性机械通风以减轻VAE的发生.
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