Evy Dwi Rahmawati, Dian Rizki Ramadhani, Afrianti Pakalessy, Sri Setiyarini
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引用次数: 0
Abstract
Background: Ventilator-associated events (VAE) are associated with higher mortality rates. Understanding the risk factors for VAE provides preventive strategies for reducing them. Several studies have been conducted on VAE risk factors. However, the findings were inconsistent.
Aim: This scoping review aimed to explore the existing evidence on risk factors of VAEs in intensive care unit (ICU) patients.
Study design: Searches were performed across eight databases including Pubmed, ProQuest, Scopus, ScienceDirect, BMJ, Web of Science, Taylor & Francis and Ebsco from 26 March to 5 April 2024, complemented by backward and forward citation tracking-eligible studies criteria: participants aged 18 years and older reporting on VAE risk factors. The publication must have occurred between 2013 and 2024, be available as full text and be written in English. A total of 19 studies met the inclusion criteria and were analysed.
Results: Forty-four risk factors were identified. Decreased level of consciousness, chronic lung diseases, invasive operation, duration of MV, trauma, fluid overload, reintubation, enteral feeding, administration of sedation and stress ulcer prophylaxis were the most frequently reported risk factors for VAE.
Conclusions: This review identified several potential risk factors for VAE; some factors have varying results or lack evidence. Further research is needed to confirm the role of these factors in reducing VAE or to clarify inconsistent findings.
Relevance to clinical practice: These findings provide information on the risk factors for VAE. Nurses must identify the presence of these risk factors in all adult ICU patients receiving invasive mechanical ventilation (IMV) and manage them to prevent the occurrence of VAE.
背景：呼吸机相关事件（VAE）与较高的死亡率相关。了解VAE的风险因素可以提供减少风险的预防策略。对VAE风险因素进行了多项研究。然而，研究结果并不一致。目的：本综述旨在探讨重症监护病房（ICU）患者VAEs危险因素的现有证据。研究设计：从2024年3月26日至4月5日，在Pubmed、ProQuest、Scopus、ScienceDirect、BMJ、Web of Science、Taylor & Francis和Ebsco等8个数据库中进行检索，并补充了符合向后和向前引用跟踪的研究标准：年龄在18岁及以上的参与者报告VAE风险因素。该出版物必须在2013年至2024年之间出版，全文可用，并以英文撰写。共有19项研究符合纳入标准并进行了分析。结果：共发现44个危险因素。意识水平下降、慢性肺部疾病、侵入性手术、MV持续时间、创伤、液体超载、重新插管、肠内喂养、镇静和应激性溃疡预防是VAE最常见的危险因素。结论：本综述确定了VAE的几个潜在危险因素；一些因素有不同的结果或缺乏证据。需要进一步的研究来确认这些因素在减少VAE中的作用或澄清不一致的发现。与临床实践的相关性：这些发现提供了VAE危险因素的信息。护士必须在所有接受有创机械通气（IMV）的成年ICU患者中识别这些危险因素的存在，并对其进行管理以防止VAE的发生。
期刊介绍：
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice
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