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Hypoxaemia on arrival in a multidisciplinary intensive care unit

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اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • بيانات النشر:
      South African Medical Association
    • الموضوع:
      2016
    • Collection:
      South African Medical Journal (SAMJ)
    • الموضوع:
      KwaZulu-Natal
    • الموضوع:
      2013-2014; All adult critically ill patients admitted during study period elligible
    • نبذة مختصرة :
      Background. Transport of the critically ill patient poses the risk of numerous complications. Hypoxaemia is one such serious adverse event and is associated with potential morbidity and mortality. It is, however, potentially preventable.Objective. To determine the incidence of hypoxaemia on arrival in a tertiary multidisciplinary intensive care unit (ICU) and to identify risk factors for this complication.Method. A retrospective observational study was conducted at King Edward VIII Hospital, Durban, South Africa, from May 2013 to February 2014.Results. Hypoxaemia occurred in 15.5% of admissions sampled. Statistically significant risk factors for hypoxaemia on univariate analysis (p<0.05) included lack of peripheral capillary oxygen saturation (SpO2) monitoring, transfer by an intern as opposed to other medical/paramedical staff, and transfer from internal medicine. Use of neuromuscular blockers and transfer from theatre were protective. Binary logistic regression analysis revealed lack of SpO2 monitoring to be the only significant independent predictor of hypoxaemia (odds ratio 6.1; 95% confidence interval 1.5 - 24.5; p=0.02).Conclusion. Hypoxaemia is common on admission to the ICU and may be prevented by simple interventions such as appropriate transport monitoring.
    • File Description:
      application/pdf
    • Relation:
      http://samj.org.za/index.php/samj/article/view/10251/7316; http://samj.org.za/index.php/samj/article/view/10251
    • الرقم المعرف:
      10.7196/SAMJ.2016.v106i5.10251
    • الدخول الالكتروني :
      http://samj.org.za/index.php/samj/article/view/10251
      https://doi.org/10.7196/SAMJ.2016.v106i5.10251
    • Rights:
      Copyright of published material remains in the Authors’ name. This allows authors to use their work for their own non-commercial purposes without seeking permission from the Publisher, subject to properly acknowledging the Journal as the original place of publication. Authors are free to copy, print and distribute their articles, in full or in part, for teaching activities, and to deposit or include their work in their own personal or institutional database or on-line website. Authors are requested to inform the Journal/Publishers of their desire/intention to include their work in a thesis or dissertation or to republish their work in any derivative form (but not for commercial use). Material submitted for publication in the SAMJ is accepted provided it has not been published or submitted for publication elsewhere. Please inform the editorial team if the main findings of your paper have been presented at a conference and published in abstract form, to avoid copyright infringement.
    • الرقم المعرف:
      edsbas.83D4BE66