Prevalence and Risk Factors of Constipation in Trauma Patients: A Prospective Cohort Study.

IF 0.7 4区医学 Q4 CRITICAL CARE MEDICINE

Journal of Trauma Nursing Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI:10.1097/JTN.0000000000000790

Kellie M Liersch, Kellie M Gumm, David J Read

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引用次数: 0

Abstract

Background: Hospitalized patients are well described as having a high prevalence of constipation. While the risks associated with constipation in trauma patients are well known, the prevalence rate is not.

Objective: This study aims to measure the prevalence of constipation and associated risk factors in trauma patients.

Methods: This study is a single-center analytic cross-sectional study on constipation in hospitalized trauma patients aged 18-65 years, admitted from January 2021 to July 2021 to the trauma service at The Royal Melbourne Hospital, a Level I major trauma and teaching hospital servicing the state of Victoria, Australia. Exclusion criteria include patients with traumatic brain injury, blunt or penetrating abdominal or spinal injuries, pregnancy, and gastrointestinal comorbidities.

Results: A total of N = 99 patients were studied, of which n = 78 (78.8%) were male with a median (interquartile range) age of 46 years (33-58). The overall prevalence of constipation was 76%. The univariate analysis demonstrated higher constipation rates in males and patients with multisystem injuries. However, in the multivariate analysis, mode of toileting and mobility were not associated with constipation after adjusting for confounding factors.

Conclusion: This study demonstrated a high prevalence of constipation in all trauma patients. There is a strong association between the development of constipation in patients with multisystem injuries when compared to those with single system.

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创伤患者便秘的患病率和风险因素：前瞻性队列研究

背景：众所周知，住院病人的便秘发生率很高。虽然创伤患者便秘的相关风险众所周知，但其患病率却不尽人意：本研究旨在测量创伤患者的便秘发生率及相关风险因素：本研究是一项单中心横断面分析研究，研究对象为 2021 年 1 月至 2021 年 7 月期间入住澳大利亚维多利亚州皇家墨尔本医院（一家一级大型创伤和教学医院）创伤科的 18-65 岁住院创伤患者中的便秘患者。排除标准包括脑外伤、腹部或脊柱钝伤或穿透伤、妊娠和胃肠道合并症患者：共有 N = 99 名患者接受了研究，其中男性患者 n = 78 人（78.8%），年龄中位数（四分位数间距）为 46 岁（33-58）。便秘的总发病率为 76%。单变量分析显示，男性和多系统损伤患者的便秘发生率较高。然而，在多变量分析中，调整混杂因素后，如厕方式和活动能力与便秘无关：这项研究表明，便秘在所有创伤患者中的发病率都很高。结论：这项研究表明，便秘在所有创伤患者中的发生率都很高。与单系统创伤患者相比，多系统创伤患者发生便秘的几率更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Trauma Nursing CRITICAL CARE MEDICINENURSING&-NURSING

CiteScore

1.20

自引率

10.00%

发文量

106

期刊介绍： Journal of Trauma Nursing (JTN) is the official journal of the Society of Trauma Nurses. The Society of Trauma Nurses believes that trauma is a disease impacting patients through the continuum of care. The mission of STN is to ensure optimal trauma care through education, collaboration, leadership and membership engagement. As the official publication of the Society of Trauma Nurses, the Journal of Trauma Nursing supports the STN’s strategic goals of effective communication, education and patient advocacy with original, peer-reviewed, research and evidence-based articles and information that reflect the highest standard of collaborative care for trauma patients. The Journal of Trauma Nursing, through a commitment to editorial excellence, implements STN’s vision to improve practice and patient outcomes and to become the premiere global nursing organization across the trauma continuum.