在创伤患者中,酒精使用与计划外的医院事件有关
Kaitlin Buhrke1, Daniel Cucher1, Melissa Kovacs1
1Department of Trauma, Chandler Regional Medical Center, Chandler, Arizona.
The Journal of surgical research
|February 24, 2026
概括
创伤患者的酒精使用与更多计划外的医院事件有关,包括手术和ICU入院. 对酒精使用障碍 (AUD) 和酒精戒断综合征 (AWS) 的早期查可以改善结果.
科学领域:
- 创伤外科 手术 创伤外科
- 临床结果 临床结果
- 公共卫生 公共卫生
背景情况:
- 在美国的创伤患者中,饮酒很常见.
- 由于创伤而住院期间酒精的作用尚不清楚.
- 这项研究调查了酒精使用和医院意外事件.
研究的目的:
- 检查创伤患者的酒精使用和计划外的医院事件之间的关联.
- 确定与不良事件相关的酒精使用的特定指标.
- 为临床实践提供有关查和管理的信息.
主要方法:
- 美国外科医生学院创伤质量改善计划 (2023) 数据分析.
- 使用多变量逻辑回归和皮尔森千平方测试.
- 通过酒精使用障碍 (AUD) 伴随性疾病,血中酒精含量 (BAL) 和酒精戒断综合征 (AWS) 诊断代码评估酒精使用情况.
主要成果:
- 酒精使用障碍 (AUD) 与非计划的手术室之旅 (aOR 1.54),ICU入院 (aOR 2.14) 和输管 (aOR 2.51) 的几率增加有关.
- 酒精戒断综合征 (AWS) 与未计划的手术室之旅 (χ2 = 557.3),ICU入院 (χ2 = 6700.0) 和输管 (χ2 = 5900.0) 有着强烈的关联.
- 入院血中酒精含量 (BAL) ≥0.08对意外事件的影响较小 (例如,意外输管 aOR:1.15).
结论:
- 用BAL,AUD或AWS表示的创伤患者的酒精使用与未计划的医院事件有显著的关联.
- 实施酒精使用查协议可能会改善创伤患者的治疗结果.
- 需要进一步研究酒精使用和不良事件之间的联系机制.
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