Use of an Integrated Pulmonary Index pathway decreased unplanned ICU admissions in elderly patients with rib fractures
| Autor: | Michaela A West, Nicholas Davis, Peter Lindbloom, Kathleen Hromatka, Jonathan Gipson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Trauma Surgery & Acute Care Open, Vol 9, Iss 1 (2024) |
| Druh dokumentu: | article |
| ISSN: | 2024-0015 2397-5776 |
| DOI: | 10.1136/tsaco-2024-001523 |
| Popis: | Methods Elderly (≥65 years old) trauma inpatients admitted to a level 1 trauma center from February 2020 to February 2023 were retrospectively studied during the introduction of IPI monitoring on the trauma floor. Patients with ≥4 rib fractures (or ≥2 with history of chronic obstructive pulmonary disease) were eligible for IPI monitoring and were compared with a group of chest Abbreviated Injury Scale score of 3 (≥3 rib fractures) patients who received usual care. Nurses contacted the surgeon for IPI ≤7. Patient intervention was left to the discretion of the provider. The primary endpoint was UIA for respiratory failure. Secondary endpoints were overall UIA, mortality, and LOS. Statistical analysis was performed using χ2 test and Student’s t-test, with p |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
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