埃塞俄比亚亚的斯亚贝巴部分公立医院成人重症监护室机械通气患者的特征和疗效。

IF 1.5 Q3 EMERGENCY MEDICINE
Open Access Emergency Medicine Pub Date : 2022-08-02 eCollection Date: 2022-01-01 DOI:10.2147/OAEM.S369752
Micheal Alemayehu, Aklilu Azazh, Heyria Hussien, Ararso Baru
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引用次数: 0

摘要

前言机械通气是重症监护病房(ICU)患者维持器官功能的主要方法。有关需要机械通气的患者的特征和预后的信息对于了解机械通气患者的死亡原因至关重要。然而,包括埃塞俄比亚在内的发展中国家的现有文献资料非常有限:本研究旨在评估 2019 年至 2020 年埃塞俄比亚亚的斯亚贝巴部分公立医院成人重症监护病房机械通气患者的特征和预后:采用基于机构的横断面研究设计。所有在 2019 年 7 月至 2020 年 7 月期间接受机械通气并在重症监护室住院至少 24 小时的成人患者均被纳入研究范围。收集的数据使用 SPSS 26 版软件进行评估。多重逻辑回归模型用于显示因变量和自变量之间的关联。结果表明,P 值小于 0.05 的变量与不良预后有独立关联:在 180 名接受机械通气的患者中,98 人(54.4%)为男性。通气的主要原因是呼吸衰竭。使用呼吸机的平均时间为(7.09±6.06)分钟,机械通气患者的死亡率为 41.7%。心脏病患者的死亡率较高,为 43(57.70%)例。使用肌力药物、未服用镇静剂和使用机械呼吸机的时间与死亡率独立相关:结论:在选定的公立医院中,机械通气患者的死亡率很高。临床医生必须努力在使用镇静剂的必要性和益处与可能对患者预后产生的负面影响之间取得平衡。此外,必须对所有需要呼吸机支持的患者进行通气风险与收益评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Characteristics and Outcomes of Mechanically Ventilated Patients at Adult ICU of Selected Public Hospitals in Addis Ababa, Ethiopia.

Characteristics and Outcomes of Mechanically Ventilated Patients at Adult ICU of Selected Public Hospitals in Addis Ababa, Ethiopia.

Characteristics and Outcomes of Mechanically Ventilated Patients at Adult ICU of Selected Public Hospitals in Addis Ababa, Ethiopia.

Introduction: Mechanical ventilation is the primary method of supporting organ function for patients admitted to intensive care units (ICU). The information on the characteristics and outcomes of patients requiring mechanical ventilation is essential to understanding the causes of mortality among mechanically ventilated patients. However, the available literature in developing countries, including Ethiopia, is limited.

Objective: The objective of this study was to assess the characteristics and outcomes of mechanically ventilated patients in adult intensive care units in selected public hospitals, in Addis Ababa, Ethiopia, from 2019 to 2020.

Methods: An institutional-based cross-sectional study design was employed. All adult patients who were mechanically ventilated and admitted to ICU for at least 24 hours between July 2019 and July 2020 were included in the study. The collected data were evaluated with SPSS version 26 software. Multiple logistic regression models were used to indicate the association between dependent and independent variables. The variables, which have an independent association with poor outcomes, were identified with a p-value less than 0.05.

Results: Of 180 mechanically ventilated patients, 98(54.4%) were male. The main reason for ventilation was respiratory failure. The mean duration of stay on the ventilator was 7.09± 6.06, and the mortality rate in mechanically ventilated patients was 41.7%. The mortality rate was higher in patients with cardiac diseases 43(57.70%). Inotropic use, not taking sedation, and length of stay on a mechanical ventilator were independently associated with mortality.

Conclusion: The mortality rate of mechanically ventilated patients in the selected public hospitals was high. The clinicians must strive to balance the necessity and benefit of sedation use with the potential to negatively affect the patient outcome. In addition, the risk:benefit assessment of ventilation must be done for all patients requiring ventilator support.

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来源期刊
Open Access Emergency Medicine
Open Access Emergency Medicine EMERGENCY MEDICINE-
CiteScore
2.60
自引率
6.70%
发文量
85
审稿时长
16 weeks
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