患者报告的呼吸障碍预测医院死亡率增加了六倍
Jennifer P Stevens1,2,3, Richard M Schwartzstein2,3, Andrew R Sheridan2
1Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA, USA.
ERJ open research
|March 4, 2026
概括
在住院期间评估患者呼吸不良 (呼吸短促),而不仅仅是在入院时,显著预测了糟糕的结果. 监测呼吸短促可以识别有风险的患者,以获得更好的护理和随访.
科学领域:
- 医学研究 医学研究
- 临床结果 临床结果
- 对患者进行监测.
背景情况:
- 呼吸不良 (呼吸短促) 是一个常见的患者抱怨.
- 在入院时报告呼吸障碍的患者面临着四倍增加的住院死亡风险.
- 该研究调查了在住院期间跟踪呼吸障碍是否能识别出额外的风险患者.
研究的目的:
- 确定在住院期间评估呼吸困难是否能确定患有死亡或其他不良结果风险的患者.
- 为了比较入院呼吸障碍与入院后呼吸障碍在患者结局上的预测值.
- 评估呼吸不良评级与死亡率,停留时间和其他临床事件之间的关联.
主要方法:
- 对非重症监护病房患者的回顾性队列研究.
- 床边护士记录了每个班次的患者疼痛和呼吸障碍评级.
- 对呼吸障碍与住院患者死亡率,两年死亡率和其他结果之间的关联进行统计分析.
主要成果:
- 18%的患者在入院时报告呼吸障碍,10%的患者在入院后出现呼吸障碍.
- 住院后呼吸障碍使住院死亡的几率增加了六倍 (OR 6.0).
- 呼吸不良与更高的2年死亡率,更长的住院时间和更多的重症监护转移有关.
结论:
- 呼吸障碍,无论是在入院还是入院后,都与患者的不良结果密切相关.
- 在住院期间监测呼吸障碍是临床妥协的关键指标.
- 这种监测可以指导额外的患者关注和门诊随访策略.
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