创伤后住院患者的误吸危险因素
Aspiration Risk Factors in Hospitalized Patients Following Trauma.
作者信息
Lamb Augustus W, Martinez Maximillian, Halimeh Bachar, Chen Guoqing John, Winfield Robert D
机构信息
University of Kansas School of Medicine, Kansas City, KS.
Department of Surgery, Division of Trauma, Critical Care, and Acute Surgery, University of Kansas Medical Center, Kansas City, KS.
出版信息
Kans J Med. 2022 May 17;15(2):184-188. doi: 10.17161/kjm.vol15.15775. eCollection 2022.
INTRODUCTION
Risk factors for aspiration are not well characterized in the trauma patient population. Improved understanding is important due to features of this patient population that place them at high risk for morbidity and mortality with aspiration.
METHODS
In a retrospective analysis of patients who suffered a traumatic injury from 2016 to 2018, potential risk factors were recorded and analyzed with logistic regression to evaluate the trauma patient at risk for aspiration.
RESULTS
Of the 146 patient charts analyzed, 56 (38%) had at least one documented aspiration event, while 90 (62%) patients had none. Multivariate logistic regression found a significant association between impaired consciousness and aspiration events (p = 0.012).
CONCLUSIONS
This study was a novel characterization of trauma patients likely to have experienced an aspiration event while hospitalized. The results suggested candidate risk factors for aspiration exist in a trauma-specific population. Impaired consciousness is likely to show a significant association with aspiration in trauma patients in future studies.
引言
创伤患者群体中误吸的危险因素尚未得到充分描述。鉴于该患者群体的特征使其因误吸而面临较高的发病和死亡风险，增进对其的了解非常重要。
方法
在对2016年至2018年遭受创伤性损伤的患者进行回顾性分析时，记录潜在危险因素并通过逻辑回归进行分析，以评估有误吸风险的创伤患者。
结果
在分析的146份患者病历中，56例（38%）至少有一次记录在案的误吸事件，而90例（62%）患者没有。多变量逻辑回归发现意识障碍与误吸事件之间存在显著关联（p = 0.012）。
结论
本研究首次对住院期间可能经历误吸事件的创伤患者进行了特征描述。结果表明，在特定创伤人群中存在误吸的候选危险因素。在未来的研究中，意识障碍可能与创伤患者的误吸存在显著关联。
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