@article {Stevens1902107作者={珍妮弗·p·史蒂文斯和丹增Dechen和理查德m Schwartzstein和卡尔·r·O {\ textquoteright} Donnell和凯西贝克和罗伯特b . Banzett}, title ={协会呼吸困难,死亡率和住院患者的资源使用},体积= {58}= {3},elocation-id = {1902107} = {2021}, doi ={10.1183/13993003.02107 -2019},出版商={欧洲呼吸学会},文摘={多达10在住院患者体验呼吸困难但呼吸困难和病人之间的关系的结果是未知的。188bet官网地址我们试图确定呼吸困难入院时预测的结果。我们进行了一项回顾性队列研究在单一,学术医疗中心。我们分析了67年362年连续住院可用数据呼吸困难、痛苦和结果。作为初始的一部分病人评估护士、患者评价{\ textquotedblleft}呼吸不适{\ textquotedblright}规模使用0到10 (10 = {\ textquotedblleft}无法忍受{\ textquotedblright})。病人呼吸困难报道入学的时候,回忆起在入学前24小时呼吸困难经验。结果包括住院死亡率,2年死亡率、住院时间,需要快速反应系统激活,转移到重症监护室,放电扩展护理,7 - 30天的所有原因重新接纳到相同的机构。报告任何呼吸困难的病人在住院期间死亡的风险增加;呼吸困难越大,越大的死亡风险(呼吸困难0:0.8 \ %的死亡率;呼吸困难1 {\ textendash} 3: 2.5 \ %的死亡率;呼吸困难> = 4:3.7 \ %的死亡率; p\<0.001). After adjustment for patient comorbidities, demographics and severity of illness, increasing dyspnoea remained associated with inpatient mortality (dyspnoea 1{\textendash}3: adjusted OR 2.1, 95\% CI 1.7{\textendash}2.6; dyspnoea >=4: adjusted OR 3.1, 95\% CI 2.4{\textendash}3.9). Pain did not predict increased mortality. Patients reporting dyspnoea also used more hospital resources, were more likely to be readmitted and were at increased risk of death within 2 years (dyspnoea 1{\textendash}3: adjusted hazard ratio 1.5, 95\% CI 1.3{\textendash}1.6; dyspnoea >=4: adjusted hazard ratio 1.7, 95\% CI 1.5{\textendash}1.8).We found that dyspnoea of any rating was associated with an increased risk of death. Dyspnoea ratings can be rapidly collected by nursing staff, which may allow for better monitoring or interventions that could reduce mortality and morbidity.In a study of over 67 000 patients, dyspnoea reported by patients during a rapid nursing assessment on admission was associated with two-fold odds of death in 2 years. A low-cost screening tool can be used to identify patients at risk of future harm. https://bit.ly/3izDXy2}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/58/3/1902107}, eprint = {//www.qdcxjkg.com/content/58/3/1902107.full.pdf}, journal = {European Respiratory Journal} }