Piotr Piech, Zuzanna Kowalczyk, Mikołaj Makaryczew, Agata Sowińska-Pelak, Jakub Pelak, Grzegorz Staśkiewicz
{"title":"创伤骨科患者肺栓塞死亡率评估及护理人员在早期发现血栓栓塞并发症中的评估作用--文献综述和原创研究。","authors":"Piotr Piech, Zuzanna Kowalczyk, Mikołaj Makaryczew, Agata Sowińska-Pelak, Jakub Pelak, Grzegorz Staśkiewicz","doi":"10.26444/aaem/196188","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and objective: </strong>Venous thromboembolism (VTE), which includes pulmonary embolism (PE) and deep vein thrombosis (DVT), is a critical complication in orthopaedic surgery, significantly contributing to patient mortality. The review evaluates the impact of nursing knowledge and engagement in the early detection of thromboembolic complications and mortality rates in trauma-orthopaedic wards, emphasizing the importance of the education of nurses and VTE prophylaxis.</p><p><strong>Review methods: </strong>A systematic review was conducted using Google Scholar and PubMed, focusing on articles published between 2013-2023. Studies assessing nurses' knowledge and practices regarding VTE, using surveys, questionnaires, and patient observations were included. Data from 276 orthopaedic patients hospitalized between 2012-2020 were also analyzed.</p><p><strong>Brief description of the state of knowledge: </strong>The review indicates that thromboembolic complications are a leading cause of mortality among orthopaedic patients. Nursing education and awareness in VTE prevention vary significantly. Standardized risk assessment tools, such as the Autar and Wells scales, are crucial for early VTE detection. The nurse-to-patient ratio (NTP) is critical, with better NTP ratios correlating with improved outcomes. The data showed significant differences in mortality rates between patients with confirmed PE and those without, highlighting the need for continuous monitoring and advanced diagnostic techniques.</p><p><strong>Summary: </strong>The review underscores the crucial role of nursing staff in the early detection and prevention of VTE in orthopaedic patients. Despite advancements in prophylaxis, the quality of nursing education and adherence to VTE prevention protocols remain pivotal. Improving nurse training and optimizing the NTP ratio in hospitals are essential for reducing VTE-related mortality.</p>","PeriodicalId":50970,"journal":{"name":"Annals of Agricultural and Environmental Medicine","volume":"32 1","pages":"52-58"},"PeriodicalIF":1.3000,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessment of pulmonary embolism mortality in trauma orthopaedic patients and the evaluating role of nursing staff in the early detection of thrombo-embolic complications - literature review and original research.\",\"authors\":\"Piotr Piech, Zuzanna Kowalczyk, Mikołaj Makaryczew, Agata Sowińska-Pelak, Jakub Pelak, Grzegorz Staśkiewicz\",\"doi\":\"10.26444/aaem/196188\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction and objective: </strong>Venous thromboembolism (VTE), which includes pulmonary embolism (PE) and deep vein thrombosis (DVT), is a critical complication in orthopaedic surgery, significantly contributing to patient mortality. The review evaluates the impact of nursing knowledge and engagement in the early detection of thromboembolic complications and mortality rates in trauma-orthopaedic wards, emphasizing the importance of the education of nurses and VTE prophylaxis.</p><p><strong>Review methods: </strong>A systematic review was conducted using Google Scholar and PubMed, focusing on articles published between 2013-2023. Studies assessing nurses' knowledge and practices regarding VTE, using surveys, questionnaires, and patient observations were included. Data from 276 orthopaedic patients hospitalized between 2012-2020 were also analyzed.</p><p><strong>Brief description of the state of knowledge: </strong>The review indicates that thromboembolic complications are a leading cause of mortality among orthopaedic patients. Nursing education and awareness in VTE prevention vary significantly. Standardized risk assessment tools, such as the Autar and Wells scales, are crucial for early VTE detection. The nurse-to-patient ratio (NTP) is critical, with better NTP ratios correlating with improved outcomes. The data showed significant differences in mortality rates between patients with confirmed PE and those without, highlighting the need for continuous monitoring and advanced diagnostic techniques.</p><p><strong>Summary: </strong>The review underscores the crucial role of nursing staff in the early detection and prevention of VTE in orthopaedic patients. Despite advancements in prophylaxis, the quality of nursing education and adherence to VTE prevention protocols remain pivotal. Improving nurse training and optimizing the NTP ratio in hospitals are essential for reducing VTE-related mortality.</p>\",\"PeriodicalId\":50970,\"journal\":{\"name\":\"Annals of Agricultural and Environmental Medicine\",\"volume\":\"32 1\",\"pages\":\"52-58\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-03-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Agricultural and Environmental Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.26444/aaem/196188\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"ENVIRONMENTAL SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Agricultural and Environmental Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.26444/aaem/196188","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/2 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
Assessment of pulmonary embolism mortality in trauma orthopaedic patients and the evaluating role of nursing staff in the early detection of thrombo-embolic complications - literature review and original research.
Introduction and objective: Venous thromboembolism (VTE), which includes pulmonary embolism (PE) and deep vein thrombosis (DVT), is a critical complication in orthopaedic surgery, significantly contributing to patient mortality. The review evaluates the impact of nursing knowledge and engagement in the early detection of thromboembolic complications and mortality rates in trauma-orthopaedic wards, emphasizing the importance of the education of nurses and VTE prophylaxis.
Review methods: A systematic review was conducted using Google Scholar and PubMed, focusing on articles published between 2013-2023. Studies assessing nurses' knowledge and practices regarding VTE, using surveys, questionnaires, and patient observations were included. Data from 276 orthopaedic patients hospitalized between 2012-2020 were also analyzed.
Brief description of the state of knowledge: The review indicates that thromboembolic complications are a leading cause of mortality among orthopaedic patients. Nursing education and awareness in VTE prevention vary significantly. Standardized risk assessment tools, such as the Autar and Wells scales, are crucial for early VTE detection. The nurse-to-patient ratio (NTP) is critical, with better NTP ratios correlating with improved outcomes. The data showed significant differences in mortality rates between patients with confirmed PE and those without, highlighting the need for continuous monitoring and advanced diagnostic techniques.
Summary: The review underscores the crucial role of nursing staff in the early detection and prevention of VTE in orthopaedic patients. Despite advancements in prophylaxis, the quality of nursing education and adherence to VTE prevention protocols remain pivotal. Improving nurse training and optimizing the NTP ratio in hospitals are essential for reducing VTE-related mortality.
期刊介绍：
All papers within the scope indicated by the following sections of the journal may be submitted:
Biological agents posing occupational risk in agriculture, forestry, food industry and wood industry and diseases caused by these agents (zoonoses, allergic and immunotoxic diseases).
Health effects of chemical pollutants in agricultural areas , including occupational and non-occupational effects of agricultural chemicals (pesticides, fertilizers) and effects of industrial disposal (heavy metals, sulphur, etc.) contaminating the atmosphere, soil and water.
Exposure to physical hazards associated with the use of machinery in agriculture and forestry: noise, vibration, dust.
Prevention of occupational diseases in agriculture, forestry, food industry and wood industry.
Work-related accidents and injuries in agriculture, forestry, food industry and wood industry: incidence, causes, social aspects and prevention.
State of the health of rural communities depending on various factors: social factors, accessibility of medical care, etc.
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