宫脊椎创伤后的肺炎和腹
Andrew H Tran1, Kaitlin A Ritter1,2, Vanessa P Ho1,3,2
1Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA.
在宫脊椎创伤患者的索引入院期间诊断食障碍并没有预测未来的肺炎再入院. 索引入院时的肺炎,椎脊髓损伤和气管切除术是重新入院的关键预测因素.
科学领域:
- 神经学 神经学
- 肺部病理学 肺部病理学
- 创伤外科 手术 创伤外科
背景情况:
- 宫性脊柱损伤 (CST) 或宫性脊髓损伤 (C-SCI) 的患者中有17-30%患有宫性脊柱损伤.
- 在索引入院 (IA) 期间诊断失消症与随后的肺炎风险之间的联系仍然不清楚.
- 这项研究调查了IA消化障碍是否预测CST/C-SCI患者未来的肺炎相关再入院.
研究的目的:
- 为了确定在索引入院期间诊断的消化不良是否与患有椎创伤或椎脊髓损伤的患者90天肺炎相关的再入院增加有关.
- 在这个患者群体中确定重新入院时肺炎的预测因素.
主要方法:
- 使用全国再接收数据库进行回顾性队列研究.
- 确定了患有CST或C-SCI的患者,并分析了90天的再入院情况.
- 后勤回归确定了与再入院和肺炎相关的因素,包括IA失足症,C-SCI和IA肺炎.
主要成果:
- 在27,752名CST患者中,9%的人在IA时患有食障碍 (13%为C-SCI).
- 与90天的再入院或肺炎没有显著的关联.
- 在IA的肺炎,C-SCI和IA的气管切除术预测了再入院时的肺炎.
结论:
- 亚体干扰症的发病率较低表明亚体干扰症的诊断不足.
- 肺炎在IA,C-SCI和气管切除术中的肺炎是肺炎再入院的强有力的预测因素.
- 在IA期间进行协议化食症查对于了解CST/C-SCI患者肺炎风险至关重要.
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