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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/32987

    標題: 呼吸衰竭病人計畫性拔管成功之研究 -以急診途徑轉入為例
    Exploring Predictors for Successfully Planned Endotracheal Extubation in Patients with Respiratory Failure Transferred from the Emergency Department
    作者: 梁懿珊
    貢獻者: 醫務管理系
    關鍵字: 急性呼吸衰竭
    Acute respiratory failure
    Tracheal intubation in Emergency department
    Adult intensive care unit
    Planned endotracheal extubation
    日期: 2019
    上傳時間: 2020-12-09 14:43:06 (UTC+8)
    摘要: 目的:本研究旨在探討經急診途徑轉入之急性呼吸衰竭病人和計畫性拔管成功的相關性,並建立其計畫性拔管成功的預測因素。
    結果:本研究共收案560位病人,拔管成功組有535位(95.5%),失敗組有25位(4.5%)。研究結果發現兩組之間在插管原因(p=0.028)、是否安寧拔管(p=0.000)、拔管前昏迷指數(p=0.024)、拔管後昏迷指數(p=0.002)、拔管後呼吸次數(p=0.043)具有顯著差異。透過二元羅吉斯迴歸分析結果,僅有拔管後昏迷指數預測計畫性拔管成功具有顯著相關(勝算比=1.332, p=0.000)。
    OBJECTIVE: This study was designed to investigate the association between patients with acute respiratory failure who were admitted to the emergency department and the successful planned endotracheal extubation, and to establish predictive factors for the success of planned endotracheal extubation.
    METHODS: This study used a retrospective case study to collect data from medical records and computer accessed databases. In the adult intensive care unit of a medical center in the south, from January 1, 2018 to December 31, 2018, patients with respiratory failure transferred from the emergency department and planned endotracheal extubation. Statistical analysis methods used descriptive statistics, chi-square tests, independent sample t-tests, and binary logistic regression analysis.
    RESULTS: A total of 560 patients were enrolled in the study. There were 535 patients (95.5%) in the successful group and 25 patients (4.5%) in the failed group. The results of the study found that the reason for intubation between the two groups (p = 0.028), whether compassionate extubation (p=0.000), the coma scale before extubation (p=0.024), the coma scale after extubation (p=0.002) and and respiratory rates after extubation (p=0.043) were significant differences. According to the results of the binary logistic regression analysis, only the coma scale after extubation predicted a significant correlation with the successful extubation (OR=1.332, p=0.020) .
    CONCLUSION: The results of this study show that there was no significant difference in emergency stay time between the successful and failed groups. The successful rate of planned extubation in patients with respiratory failure transferred to the emergency department is as high as 95.5%. The coma scale after extubation was significantly associated with predicting the successful planned extubation.
    關聯: 電子全文公開日期:2024-08-20
    Appears in Collections:[醫務管理系(所)] 博碩士論文

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