估算机械通气 ICU 气管切开患者脱机的最佳时间。一项前瞻性观察研究。
Estimation of the optimal time needed for weaning of Intensive Care Unit tracheostomized patients on mechanical ventilation. A prospective observational study.
机构信息
ICU NURSE.
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出版信息
Acta Biomed. 2023 Apr 24;94(2):e2023103. doi: 10.23750/abm.v94i2.14243.
BACKGROUND AND AIM
Determining the time that is required for weaning, as well as the factors that influence it can be used for the appropriate planning of patient's medical and nursing care. The aim of this study is to estimate the optimal time an Intensive Care Unit (ICU) patient with tracheostomy needs to wean from mechanical ventilation.
METHODS
This prospective observational study was conducted on 162 patients from two general hospitals in Athens, Greece. A specially designed recording form was created to conduct the study. The Statistical Package for the Social Sciences (SPSS) v.25 for Windows was used to record and analyze the data. The level of statistical significance was set at α=5%.
RESULTS
Results were found after comparing and associating the demographic and clinical characteristics and medical history of patients with the duration of weaning, the length of post-tracheostomy ICU stay and the time from intubation to tracheostomy.
CONCLUSIONS
According to the results of our study, there are various factors that affect success and duration of weaning. More specifically, there seems to be an association between duration of weaning and age, number of closure attempts, success of closure, time from intubation to tracheostomy, length of the patient's post-tracheostomy ICU stay and diagnosis upon admission. The shorter the duration of weaning, the greater the benefits for the patients themselves, such us avoiding respiratory damage, reduction of mortality and morbidity and preventing of length of patient's ICU stay.
背景与目的
确定撤机所需的时间以及影响撤机的因素，有助于为患者的医疗和护理提供适当的计划。本研究的目的是估计气管切开的重症监护病房（ICU）患者从机械通气撤机的最佳时间。
方法
这是一项在希腊雅典的两家综合医院进行的前瞻性观察性研究。创建了一个专门的记录表格来进行研究。使用 Windows 版的社会科学统计软件包（SPSS）v.25 记录和分析数据。统计显著性水平设定为α=5%。
结果
在比较和关联患者的人口统计学和临床特征以及病史与撤机时间、气管切开术后 ICU 住院时间和从插管到气管切开的时间后，得出了结果。
结论
根据我们的研究结果，有各种因素会影响撤机的成功率和持续时间。更具体地说，撤机时间似乎与年龄、关闭尝试次数、关闭成功率、从插管到气管切开的时间、气管切开术后 ICU 住院时间以及入院时的诊断有关。撤机时间越短，对患者自身的益处越大，例如避免呼吸损伤、降低死亡率和发病率以及防止患者 ICU 住院时间延长。
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