时间温度计的种族差异和与延迟性败血症的关联 护理包
medRxiv : the preprint server for health sciences
|April 16, 2025
概括
在亚洲人,黑人和西班牙裔患者中,部温度计可能会错过发烧或低温,延迟败血症治疗. 建议使用接触温度计进行常规验证,以确保准确的温度读数和公平的患者管理.
科学领域:
- 医疗器械 医疗器械
- 临床信息学 临床信息学
- 健康 公平 卫生 公平
背景情况:
- 准确的温度监测对于早期的败血症诊断至关重要.
- 有关不同种族和种族群体的动脉 (额头) 温度计的准确性存在担忧.
- 败血症识别和治疗的差异可能与温度计的不准确性有关.
研究的目的:
- 评估动脉温度测试在不同种族和族裔群体中的表现.
- 评估潜在的时间温度测量不准确性对开启败血症管理包 (SEP-1) 的影响.
主要方法:
- 追溯队列研究分析了123家美国医院 (2008-2024) 的电子健康记录.
- 包括在一个小时内对联时间和口腔/核心温度测量的患者.
- 根据时间和核心测量之间的差异定义了"隐藏的发烧"和"隐藏的低温".
主要成果:
- 对4,248例住院患者的6,921个对测量的分析显示,与白人患者相比,黑人和西班牙裔/拉丁裔患者的"隐性高热/低温症" (HHH) 发生率更高.
- 调整后的几率比率表明,黑人患者 (1.760) 和西班牙裔/拉丁裔患者 (2.183) 显著更有可能经历HHH.
- 与HHH患者相比,与精确读数患者相比,HHH患者在关键SEP-1干预措施 (培养物,抗生素,乳酸测量) 的启动显著延迟.
结论:
- 仅仅依赖动脉温度计可能导致发烧或体温下降,特别是在亚洲,黑人和西班牙裔患者中.
- 这些不准确性与败血症护理包启动的延迟有关,这可能会影响患者的治疗结果和医院的合规性.
- 时间温度计与接触温度计的常规验证对于减轻健康差异和确保及时治疗败血症至关重要.
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