长期断奶患者的临床结果和长期存活率
Michael Westhoff1,2, Alexander Heine3, Anne Obst4
1Department of Pneumology, Lungclinic Hemer, Hemer, Germany.
Respiration; international review of thoracic diseases
|November 24, 2025
概括
长期断奶后通过侵入性通风或气管切除术出院的患者的长期存活率显著降低. 放出后的结构化护理和定期的断奶评估对于改善这一高风险群体的结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 从机械通风中长时间断奶带来了重大的临床挑战.
- 有限的数据存在于专业断奶中心的患者的长期生存和出院后的结果.
- 这项研究解决了对医院护理以外的综合结果数据的需求.
研究的目的:
- 为了评估两个德国专业中心的住院断奶结果.
- 评估长期存活率,并确定影响长期机械通风后患者死亡率的因素.
- 为改进退院后护理策略的制定提供信息.
主要方法:
- 使用WeanNet注册表 (2016-2020) 的回顾性队列研究.
- 包括来自两个专门的断奶中心 (格里夫斯瓦尔德和海默) 的718名患者.
- 通过门诊评估,临床记录和电话采访进行3年的随访.
主要成果:
- 住院死亡率低于国家平均水平 (格里夫斯瓦尔德:6.2%;海默:3.4%对13.4%).
- 通过侵入性通风 (HR 2.60) 或气管切除术 (HR 1.90) 排出,显著增加了36个月死亡率.
- 包括心力衰竭,慢性病和糖尿病在内的并发症与较差的结果有关.
结论:
- 出院状态 (侵入性通风或气管切除术) 是减少长期存活的关键预测因素.
- 对于需要持续呼吸支持的患者,迫切需要结构化的出院后护理途径.
- 在后续计划中,应优先考虑定期重新评估断奶潜力和气管管切除术.
相关概念视频
01:29Chronic Pancreatitis II: Collaborative Care
296
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
296
01:16Kidney Transplant III: Nursing Management
298
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
298
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
789
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
789
01:30Pneumonia III: Complications and Assessment
765
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
765
01:30Acute Pancreatitis II: Clinical Manifestations and Management
711
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
711