Changes of vital signs and factors among surgery patients transferring from the operation room to the intensive care units
| Autor: | Chiu-Feng Tsung, 宗秋鳳 |
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| Rok vydání: | 2012 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 100 This study was to investigate the change of vital signs of surgery patients transferring from the operation room to the intensive care unit (ICU). Data was analyzed from September 2009 to August 2010, with a total of 1050 patients from a medical center in central Taiwan. Patients transferring to the post-operative care unit after surgery, receiving local anesthetic and younger than 18 years old were excluded from the study. A retrospective method with reviewing medical charts was utilized. The majority of the subjects were men (64.57%), and the range of age was from 18 to 97 (mean=60.62±17.566). Results indicated that patients` vital signs changed during transferring. The rate of adverse changes of vital signs during transferring was around 43-47%. Significant differences before and during intrahospital transportation were found in systolic blood pressure (p= .000), diastolic blood pressure (p= .000), heart rate(p= .000) and SpO2(p= .0295). Significant predictors for systolic blood pressure change were age, emergency surgery, endotracheal intubation, and medication (dopamine, levophed, dobutamine). Type of surgery, endotracheal intubation and dopamine utilization were critical predictors for diastolic blood pressure change. Surgery types and dopamine were predicted for heart rate alteration; similarly, surgery types, dopamine, Morphine were predictors for the decrease of SpO2. This study can be of a safety awareness for health care staffs transporting surgery patients from the operation room to ICUs. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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