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支气管抽吸术后生存相关因素:一项横断面研究。

Factors associated with post-bronchoaspiration survival: A cross-sectional study.

作者信息

Carro Cristina Zerbinati, Dos Santos Figueiredo Francisco Winter, de Alcantara Sousa Luiz Vinicius, Adami Fernando, Hojaij Flávio Carneiro

机构信息

Faculdade de Medicina do ABC, Laboratório de Epidemiologia e Análise de Dados, Santo André, SP, Brazil.

Faculdade de Medicina do ABC, Laboratório de Epidemiologia e Análise de Dados, Santo André, SP, Brazil.

出版信息

Braz J Otorhinolaryngol. 2025 Jul;91 Suppl 1(Suppl 1):101611. doi: 10.1016/j.bjorl.2025.101611. Epub 2025 May 27.

DOI:10.1016/j.bjorl.2025.101611
PMID:40435745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12159811/
Abstract

OBJECTIVE

To analyze the survival rate of adult patients who underwent bronchoaspiration while hospitalized in a public university hospital with oncology care characteristics.

METHODS

A 12-month retrospective longitudinal study was carried out using bronchoaspiration risk management and event notification analysis forms filled out in the medical records of patients admitted to this hospital.

RESULTS

The 34 patients who presented the adverse event of bronchoaspiration had their survival rate reduced by 30% in the first month, and only 29.6% of them survived the second month post-event. Women were more vulnerable to clinical complications originating from the general health status decline as well as to acute pulmonary complications arising from sepsis, consequently presenting a greater reduction in survival.

CONCLUSION

Bronchoaspiration events corroborate an abrupt decrease in patient survival.

LEVEL OF EVIDENCE

Level III.

摘要

目的

分析在一家具有肿瘤护理特色的公立大学医院住院期间接受支气管抽吸术的成年患者的生存率。

方法

采用回顾性纵向研究,为期12个月,使用在该医院住院患者病历中填写的支气管抽吸风险管理和事件通知分析表。

结果

出现支气管抽吸不良事件的34例患者在第一个月的生存率降低了30%,事件发生后第二个月仅有29.6%的患者存活。女性更容易因总体健康状况下降引发临床并发症,以及因败血症引发急性肺部并发症,因此生存率下降幅度更大。

结论

支气管抽吸事件证实患者生存率会急剧下降。

证据级别

三级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f51/12159811/0cb6b3386e5c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f51/12159811/31cf32561f7d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f51/12159811/0cb6b3386e5c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f51/12159811/31cf32561f7d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f51/12159811/0cb6b3386e5c/gr2.jpg

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