儿科重症监护病房收治的儿童机械通气相关并发症和合并症:一项横断面回顾性研究。

IF 2.3 Q3 EMERGENCY MEDICINE
Amany Mohammed El-Rebigi, Amany Nagah Fekry, Maha A Elfaramawy, Rasha Mohammed Zakaria
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引用次数: 0

摘要

目的:机械通气(MV)经常用于重症儿童的急性护理环境,但它可能与不良事件(ae)相关。本研究探讨了儿童接受侵袭性中压(IMV)的不良反应及合并症。方法:这项回顾性横断面研究评估了2021年1月至2023年12月入住儿科重症监护病房并接受IMV治疗的儿科患者。收集了人口统计学、临床表现、并发医疗条件、呼吸机设置、并发症和结果。使用多变量逻辑回归评估mv相关ae的预测因素。结果:1 / 4(24.1%)的患者至少发生一次AE。呼吸机相关性肺炎(VAP)是最常见的后果(13%),其次是拔管后喘鸣(7.9%)和漏气综合征(气胸)(6%)。仅12.4%的病例有合并症,死亡率为9.8%。与ae显著相关的因素包括入院时的非呼吸原因、MV持续时间延长和合并症的存在。结论:ae的发生率升高,以VAP最为常见。入院时的非呼吸原因、延长的MV和既往存在的合并症是ae的主要预测因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Mechanical ventilation-associated complications and comorbidities in children admitted at pediatric intensive care unit: A cross-sectional retrospective study.

Mechanical ventilation-associated complications and comorbidities in children admitted at pediatric intensive care unit: A cross-sectional retrospective study.

Mechanical ventilation-associated complications and comorbidities in children admitted at pediatric intensive care unit: A cross-sectional retrospective study.

Objectives: Mechanical ventilation (MV) is frequently employed in acute care settings for severely ill children, but it may be associated with adverse events (AEs). This study investigated the AEs and comorbidities in children receiving invasive MV (IMV).

Methods: This retrospective cross-sectional study assessed pediatric patients admitted to the pediatric intensive care unit from January 2021 to December 2023 and received IMV. Demographics, clinical findings, concurrent medical conditions, ventilator settings, complications, and outcomes were collected. The predictors of MV-related AEs were assessed using multivariate logistic regression.

Results: One-quarter (24.1%) of the patients experienced at least one AE. Ventilator-associated pneumonia (VAP) was the most common consequence (13%), followed by postextubation stridor (7.9%) and air-leak syndrome (pneumothorax) (6%). Only 12.4% of cases had comorbidities and the death rate was 9.8%. The factors significantly associated with AEs included nonrespiratory causes for admission, prolonged MV duration, and the presence of comorbidities.

Conclusions: There is an elevated incidence of AEs, with VAP being the most frequent. Nonrespiratory causes for admission, prolonged MV, and preexisting comorbidities were the main predictors of AEs.

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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
30
审稿时长
22 weeks
期刊介绍: The Turkish Journal of Emergency Medicine (Turk J Emerg Med) is an International, peer-reviewed, open-access journal that publishes clinical and experimental trials, case reports, invited reviews, case images, letters to the Editor, and interesting research conducted in all fields of Emergency Medicine. The Journal is the official scientific publication of the Emergency Medicine Association of Turkey (EMAT) and is printed four times a year, in January, April, July and October. The language of the journal is English. The Journal is based on independent and unbiased double-blinded peer-reviewed principles. Only unpublished papers that are not under review for publication elsewhere can be submitted. The authors are responsible for the scientific content of the material to be published. The Turkish Journal of Emergency Medicine reserves the right to request any research materials on which the paper is based. The Editorial Board of the Turkish Journal of Emergency Medicine and the Publisher adheres to the principles of the International Council of Medical Journal Editors, the World Association of Medical Editors, the Council of Science Editors, the Committee on Publication Ethics, the US National Library of Medicine, the US Office of Research Integrity, the European Association of Science Editors, and the International Society of Managing and Technical Editors.
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