■确定慢性阻塞性肺疾病急性加重患者长期重症监护病房的诱发因素。
方法:回顾性研究是在阿塔图尔克疗养院培训和研究医院伦理审查委员会批准后进行的,土耳其,包含2017年1月1日至2022年8月31日期间接受重症监护病房治疗的慢性阻塞性肺疾病急性加重期患者的相关数据.人口统计,合并症,治疗,在医院和重症监护室的住院时间,和营养状况进行了评估。在重症监护病房中度过<10天的患者的数据形成第1组,而为了比较目的,已经度过10天或更长时间的患者形成第2组。数据采用SPSS22进行分析。
结果:在460名患者中,第1组中有366名(79.6%);男性224名(61.2%)和女性64名(38.8%),平均年龄为70.81±11.57岁。第2组患者94例(20.4%),男62例(66%),女32例(34%),平均年龄72.38±10.88岁(p>0.05)。肌力剂支持,需要血液透析,有创机械通气的时间表,住院时间,1个月死亡率,抗生素使用,使用利尿剂,急性生理和慢性健康评估-ii评分,危重病评分中的营养风险,肺部恶性肿瘤病史,在第2组患者中,胸片上的肺炎浸润明显更频繁(p<0.05)。年龄,有创机械通气的时间表,住院时间和住院时间是延长重症监护病房住院时间的因素(p<0.05)。
结论:年龄较高,慢性阻塞性肺疾病急性加重的有创机械通气时间和住院时间延长导致重症监护病房住院时间延长。
UNASSIGNED: To determine the predisposing factors for lengthy intensive care unit stay of chronic obstructive pulmonary disease patients with acute exacerbation.
METHODS: The retrospective study was conducted after approval from the ethics review committee of Atatürk Sanatorium Training and Research Hospital, Turkey, and comprised data from January 1, 2017, to August 31, 2022, related to acute exacerbation chronic obstructive pulmonary disease patients receiving intensive care unit treatment. Demographics, comorbidities, treatment, length of stay in hospital and in intensive care unit, and nutritional status were evaluated. Data of patients who spent <10 days in intensive care unit formed Group 1, while those having spent 10 days or more formed Group 2 for comparison purposes. Data was analysed using SPSS 22.
RESULTS: Of the 460 patients, 366(79.6%) were in Group 1; 224(61.2%) males and 64(38.8%) females with mean age 70.81±11.57 years. There were 94(20.4%) patients in Group 2; 62(66%) males and 32(34%) females with mean age 72.38±10.88 years (p>0.05). Inotropic agent support, need for haemodialysis, timeframe of invasive mechanical ventilation, length of stay in hospital, 1-month mortality, antibiotic use, use of diuretic agent, acute physiology and chronic health evaluation-ii score, nutrition risk in the critically ill score, history of lung malignancy, and pneumonic infiltration on chest radiograph were significantly more frequenttly observed in Group 2 patients (p<0.05). Age, timeframe of invasive mechanical ventilation, and length of stay in hospital were the factors prolonging intensive care unit stay (p<0.05).
CONCLUSIONS: Higher age, longer invasive mechanical ventilation timeframe and hospital stay with acute exacerbation chronic obstructive pulmonary disease caused a prolonged stay in intensive care unit.