在心血管重症监护室对手握强度和心血管结果的前性研究
Binaya Basyal1, Harish Jarrett2, Neha Gupta1
1Department of Cardiology, MedStar Heart and Vascular Institute and Georgetown University School of Medicine, Washington, DC, United States.
手握强度 (HGS) 是心血管重症监护室 (CVICU) 中的一个简单的脆弱性标记. 较低的HGS与非程序性患者的更长的住院时间有关.
科学领域:
- 心脏病学 心脏病学
- 密集护理医学 密集护理医学
- 老年病的医生 老年病的医生
背景情况:
- 手握强度 (HGS) 是一个公认的脆弱指标.
- 虚弱与不良的心血管结果有关.
- 在心血管重症监护室 (CVICU) 中HGS的实用性仍未得到充分研究.
研究的目的:
- 调查HGS与CVICU患者的临床结果之间的关联.
- 为了确定HGS是否可以预测这个人群的停留时间,再接收或死亡率.
主要方法:
- 在CVICU入院后,对330名成年患者进行了HGS测量.
- 评估的临床结果包括CVICU再入院,停留时间 (LOS),30天再入院和住院死亡率.
- 统计分析包括t测试和皮尔森的相关性.
主要成果:
- HGS与医院的LOS相反相关 (r=-0.165,P=0.003).
- 在HGS最低四分位数 (<18公斤) 中的患者的平均LOS长3天 (P=0.049).
- HGS没有预测CVICU再入院或死亡率. 对于非程序性入院,HGS,年龄和白蛋白预测了LOS (r=0.38,P<0.001).
结论:
- HGS是为CVICU患者提供一个实用的护理点脆弱性评估工具.
- 降低HGS是非程序性CVICU入院中长期住院LOS的独立预测因素.
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