Risk factors of oxygen saturation decrease during intrahospital transportation of intensive care unit patients in emergency department
10.3761/j.issn.0254-1769.2017.12.014
- VernacularTitle:ICU患者在院内转运时血氧饱和度降低的影响因素分析
- Author:
yu Lei YUE
1
;
xian Zhen SHI
;
Hui WU
;
xing Xing LI
Author Information
1. 030024,太原市 山西中医药大学护理学院
- Keywords:
Intra-hospital Transport;
Oxygen Desaturation;
Root Cause Analysis
- From:
Chinese Journal of Nursing
2017;52(12):1478-1482
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore risk factors of oxygen saturation (SpO2) decrease during intrahospital transporta-tion (IHT) of intensive care unit (ICU) patients in emergency department,and provide theoretical basis for prevent-ing oxygen saturation decrease during intrahospital transportation. Methods A cross-sectional study design was adopted,from April to May,2017,we investigated 182 ICU patients who required IHT in an emergency department in a tertiary hospital in Shanxi Province by using self-designed Evaluation Form of Intrahospital Transportation for ICU Patients in Emergency Room. We divided patients into two groups based on whether their SpO2 decreased or not. Risk factors of SpO2 decrease were identified by univariate and multivariate Logistic regression analysis. Results Among 182 patients,117 had SpO2 decrease,and the rate of SpO2 decrease was 64.3%. Patient's age,MEWS score, disease type,escort personnel,and oxygen supply device were risk factors of SpO2 decrease. Conclusion SpO2 de-crease is the result of combination of multiple risk factors during IHT. We ought to enhance training of escort person-nel,assess patient's condition and SpO2 level accurately and make plan before transportation,choose qualified oxygen supply device to ensure patients can have effective oxygen supply during IHT,which prevent SpO2 decrease during IHT.
