J Surg Res:5-14岁儿科创伤患者心率在80-99次/min范围内死亡风险很低

2015-11-23 MedSci MedSci原创

洛杉矶西奈医疗中心手术、创伤和急救护理科Ara Ko和同事研究儿科创伤患者的心率,发现判断儿科创伤患者正常心率范围的标准与理论上有差异。研究结果2015年11月19日在Journal of Surgical Research在线发表。

洛杉矶西奈医疗中心手术、创伤和急救护理科Ara Ko和同事研究儿科创伤患者的心率,发现判断儿科创伤患者正常心率范围的标准与理论上有差异。研究结果2015年11月19日在Journal of Surgical Research在线发表。

背景:通常创伤后最优儿童心率(HR,heart rate)是基于一个给定的年龄的静息心率计算出来的。因为休克分期对HR有影响,因此有必要更清楚的了解创伤后儿科患者HR的变化。

目的:分析儿科创伤患者住院时的HR,确定HR在何范围内儿科创伤患者死亡率最低。

材料和方法:从NTDB(National Trauma Data Bank,全国创伤数据库)调取数据,评估2007年-2011年所有受伤的1-14岁患者数据。根据年龄分层将患者分为7组。记录受试者临床特征和预后,使用回归分析确定每个年龄组HR变化范围的死亡率优势比(OR)。

结果:共有214254例儿科创伤患者符合入选标准。住院时平均心率和收缩压分别是104.7次/min和120.4mmHg。总体死亡率为0.8%。

在全年龄组和7-14岁年龄组受试者中,与最低死亡率相关的HR的变化范围比基于静息心率计算出来的变化范围要小一些。5-14岁受试者HR在80-99次/min范围内,受试者死亡风险最低。

结论:儿科创伤患者中与死亡率最低相关的HR范围与基于静息心率计算出来的HR范围不同。

研究表明心率为 115/min的7岁创伤患者可能正处于休克不可逆期,而传统心率范围则显示患者心率正常。知道儿科创伤患者什么时候心率较高或较低将有助于更好地指导治疗。

原始出处:

Ara Ko, Megan Y Harada, Jason S, et all. Heart Rate in Pediatric Trauma: Rethink Your Strategy.J Surg Res. Available online 19 November 2015.


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  1. [GetPortalCommentsPageByObjectIdResponse(id=107740, encodeId=afd610e740c1, content=这篇咨询不错哦,值得学习,对于临床工作和科研思路都很有帮助。, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Tue Aug 30 22:49:00 CST 2016, time=2016-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1255538, encodeId=58ab1255538f7, content=<a href='/topic/show?id=587f6339050' target=_blank style='color:#2F92EE;'>#死亡风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63390, encryptionId=587f6339050, topicName=死亡风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Wed Nov 25 06:31:00 CST 2015, time=2015-11-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1335089, encodeId=2b7613350895f, content=<a href='/topic/show?id=e7cc32022c7' target=_blank style='color:#2F92EE;'>#创伤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=32022, encryptionId=e7cc32022c7, topicName=创伤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=aa5a2500103, createdName=ms920641618706883, createdTime=Wed Nov 25 06:31:00 CST 2015, time=2015-11-25, status=1, ipAttribution=)]
    2016-08-30 李东泽

    这篇咨询不错哦,值得学习,对于临床工作和科研思路都很有帮助。

    0

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