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首页> 外文期刊>American journal of medical quality: the official journal of the American College of Medical Quality >Relationship Between Time in the Operating Room and Incident Pressure Ulcers: A Matched Case-Control Study
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Relationship Between Time in the Operating Room and Incident Pressure Ulcers: A Matched Case-Control Study

机译：手术室时间与突发性压疮之间的关系：病例对照研究

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摘要

The objective was to determine the relationship between time in the operating room (OR) and hospital-acquired pressure ulcers (HAPUs), controlling for temporality. The research team identified 931 HAPUs among surgical patients and matched them to 4 controls by hospital length of stay at the time the pressure ulcer (PU) was documented. A regression model estimated the relationship between OR time and HAPU after controlling for matching, age, sex, admission and current Braden score, weight, year, and American Society of Anesthesiologists physical status score. OR time in the 24 hours prior to PU documentation was associated with PUs. Only 5% of HAPUs occurred within 24 hours of extended (>4 hours) surgery and 58% occurred after hospital day 5. Extended surgery is confirmed as a risk factor for PU development. Most PUs do not appear in the immediate postoperative period, and prevention efforts should focus on postoperative patient care, when most HAPUs develop.
机译：目的是确定手术室时间（OR）与医院获得性压疮（HAPU）之间的关系，以控制时间性。该研究小组在记录有压疮的时候，在手术患者中识别出931例HAPU，并根据住院时间将其与4名对照进行了匹配。回归模型在控制匹配，年龄，性别，入院率和当前Braden评分，体重，年份以及美国麻醉医师学会身体状况评分之后，估计了OR时间与HAPU之间的关系。 PU文档之前的24小时内的OR时间与PU相关联。在扩展手术（> 4小时）的24小时内仅发生5％的HAPU，而在住院5天后发生了58％的HAPU。经证实，扩展手术是PU发展的危险因素。大多数PU在术后不久就不会出现，并且当大多数HAPU出现时，预防工作应集中在术后患者护理上。

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