肋骨骨折患者呼吸不全的危险因素:对患者报告结果的前性研究
Kayla M Switalla1, Madison Sundlof1, Emma Jones2
1University of Minnesota Medical School, Minneapolis, Minnesota.
The Journal of surgical research
|June 11, 2025
概括
近一半的肋骨骨折患者在出院后经历了中度至严重的呼吸障碍. 使用阿片类药物和喘病史增加了这种风险,而年龄较大可能会降低这种风险. 远程监测患者报告的结果是可行的.
科学领域:
- 医学研究 医学研究
- 肺部病理学 肺部病理学
- 创伤外科 手术 创伤外科
背景情况:
- 肋骨骨折是一种常见的损伤,具有显著的发病率.
- 优化结果,特别是放出后呼吸障碍,仍然是一个挑战.
- 患者报告的结果测量 (PROM) 可以跟踪症状.
研究的目的:
- 在肋骨骨折患者中使用PROM检查呼吸障碍的频率和严重程度.
- 为了确定与中度至重度的早发性呼吸障碍出院后相关的风险因素.
主要方法:
- 在中西部卫生系统进行前性研究 (2021-2022年).
- 使用移动平台远程跟踪放电后的PROM.
- 定义早期呼吸障碍作为2周内症状;严重程度分类 (轻度/中度至严重).
- 多变量逻辑回归分析了与严重呼吸障碍相关的因素.
主要成果:
- 在1103名患者中,98名患者在2周内接受了PROM.
- 41.8%的人报告中度至重度的早期呼吸不良.
- 年龄较大与严重呼吸障碍的几率较低有关 (OR 0.97).
- 入院时的阿片类药物疼痛管理 (OR 3.8) 和喘病史 (OR 5.7) 增加了严重呼吸障碍的几率.
结论:
- 通过PROM远程监测患者是跟踪出院后呼吸障碍的可行方法.
- 年龄,入院阿片类药物使用和喘病史是严重早期呼吸障碍的关键风险因素.
- PROMs可以为肋骨骨折患者提供最佳的出院后随访策略.
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