进入重症监护室的手术患者的并发症模式和术后结果
Caroline Tolentino Sanches1, Silvia Paulino Ribeiro Albanese1, Monique Elen Robuste1
1Universidade Estadual de Londrina, Londrina, Brazil.
概括
手术后并发症很常见,并增加死亡风险. 早期食和恶心预防可以减少并发症,而女性性别,紧急手术和更高的SAPS 3分数预测死亡.
科学领域:
- 关键护理医学 关键护理医学
- 手术结果研究研究.
- 医院流行病学 医院流行病学
背景情况:
- 术后并发症对患者的治疗结果和医院资源利用有重大影响.
- 确定医院死亡的风险因素对于改善患者护理和生存率至关重要.
研究的目的:
- 确定术后并发症的发生率和类型.
- 确定与手术后住院死亡率相关的风险因素.
主要方法:
- 在手术后入住重症监护病房的成年患者进行了回顾性纵向研究.
- 分析社会人口统计,临床和流行病学数据,包括术后并发症和结果.
- 后勤回归用于确定死亡率的独立风险因素.
主要成果:
- 在202名患者中,84.7%的患者经历了术后并发症,最常见的是心血管,传染病和胃肠道.
- 住院死亡率为26.2%.
- 术后食延迟增加了并发症风险;早期食和恶心/吐预防与较少的并发症有关.
结论:
- 手术后并发症的高患病率与死亡率的增加有关.
- 早期的术后养和手术期间的恶心/吐预防是保护因素.
- 女性性别,紧急手术和高SAPS3分数是住院死亡率的独立预测因素.
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