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외과중환자실에 입실한 복부수술 환자의 수술 후 폐합병증 발생 위험요인에 대한 연구

Surgical Intensive Care Unit Patients’ Risk Factors for Postoperative Pulmonary Complications after Abdominal Surgery

기본간호학회지 2019년 26권 1호 p.32 ~ 41
주순여, 김희승,
소속 상세정보
주순여 ( Joo Soon-Yeo ) - 가톨릭대학교 서울성모병원 외과중환자실
김희승 ( Kim Hee-Seung ) - 가톨릭대학교 간호대학

Abstract


Purpose: The purpose of this study was to identify the risk factors for postoperative pulmonary complications (PPCs) after upper or lower abdominal digestive tract surgery.

Methods: Participants in this retrospective observational study had undergone upper or lower digestive tract surgery and entered the surgical intensive care unit between March 1, 2016 and February 28, 2017. Data were collected from the medical records, operative records, results of laboratory test, and the nursing records of the hospitals.

Results: Of the patients, 544 patients were enrolled in the study and PPCs -developed in 335 (61.6%) patients. On multivariate logistic regression analysis, significant risk factors of PPCs were identified: BMI (Body Mass Index; kg/m2), preoperative serum BUN (Blood Urea Nitrogen; mg/dL), abdominal open surgery, or blood transfusion during operation.

Conclusion: These risk factors could be used to help identify patients at risk for PPCs and then appropriate nursing interventions could be provided for patients at risk of PPCs.

키워드

수술 후 합병증; 위험요인; 일반수술
Postoperative complications; Risk factors; General surgery; Intensive care units

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