Length Of Hospitalization Time Research Articles

Analysis of the Clinical Value of Surgical Treatment and Postoperative Anti-Infection Treatment of Acute Suppurative Appendicitis

Objective: To explore the clinical value of surgical treatment and postoperative anti-infection treatment for acute suppurative appendicitis. Methods: A total of 116 patients with acute suppurative appendicitis were enrolled in this study. The collection period was from December 2021 to December 2023. The patients were randomly grouped into a control group (surgical treatment) and an observation group (surgical treatment and postoperative anti-infection treatment), of 58 patients each. At the end of the treatment, the results of each index of the two groups were compared. Results: The length of hospitalization time, exhaust time, and incidence of complications in the observation group were shorter than those of the control group (P < 0.05). The total effective rate of the observation group was higher than that of the control group (P < 0.05). Conclusion: It is crucial to perform anti-infective treatment promptly after surgical treatment in patients with acute suppurative appendicitis. It can effectively prevent the occurrence of complications and improve the clinical efficacy. Hence, it is worthy of research and promotion.

Clinical analysis of incomplete rupture of the uterus secondary to previous cesarean section.

Uterine rupture is a rupture of the body or lower part of the uterus during pregnancy or delivery. Total of 98 cases with incomplete uterine rupture were classified as the incomplete uterine rupture group, 100 cases with a history of cesarean delivery without uterine rupture were classified as the non-ruptured uterus group, and controls were selected using a systematic sampling method. The maternal age ≥35 years were associated with 2.18 times higher odds of having an incomplete uterine rupture. The odd of having an incomplete uterine rupture was 3.744 times higher for a woman with delivery interval ≤36 months. Having pregnancy complication was associated with 3.961 times higher odds of having an incomplete uterine rupture. The neonatal weight was lighter in the incomplete uterine rupture group (P = 0.007). The number of preterm birth and transfer to the NICU were higher in the incomplete uterine rupture group (P ＜ 0.01). The operation time and the length of time in hospital were longer in the group with incomplete uterine rupture (P ＜ 0.01). Age ≥35 years, delivery interval ≤36 month, and pregnancy with complication were independent risk factors of incomplete rupture of the uterus secondary to previous cesarean section.

Effect of different ventilation methods combined with pulmonary surfactant on neonatal acute respiratory distress syndrome.

Acute respiratory distress syndrome precipitates is widespread pulmonary injury in impacted individuals, the neonatal respiratory distress syndrome (NRDS), primarily observed in preterm infants, represents a prevalent critical condition in neonatal clinical settings. To investigate the clinical efficacy of various ventilation strategies combined with pulmonary surfactant (PS) therapy in the treatment of NRDS. A total of 20 neonates diagnosed with respiratory distress syndrome, admitted between May 2021 and June 2022, were randomly assigned to either a research group or a control group. Neonates in the research group received treatment involving high-frequency oscillatory ventilation (HFOV) in conjunction with PS. In contrast, neonates in the control group were administered either controlled mechanical ventilation or synchronous intermittent mandatory ventilation, combined with PS. Arterial blood samples from the neonates in both groups were collected before treatment, as well as 6 h, 12 h, 24 h, and 48 h post-treatment. These samples underwent blood gas analysis, with measurements taken for pH value, partial pressures of oxygen (O2) and carbon dioxide. Concurrently, data was collected on the duration of ventilator use, length of hospitalization time, O2 treatment time, treatment outcomes, and complications of the ventilator. From 6-48 h post-treatment, both groups demonstrated significant improvements in arterial blood pH and oxygen partial pressure, along with a significant decrease in carbon dioxide partial pressure compared to pre-treatment values (P < 0.05). Although these changes progressed over time, there were no significant differences between the two groups (P > 0.05). However, the research group had significantly lower X-ray scores, shorter hospitalization time, and less time on O2 therapy compared to the control group (P < 0.05). Mortality rates were similar between the two groups (P > 0.05), but the research group had a significantly lower incidence of complications (P < 0.05). The integration of HFOV combine with PS has proven to effectively expedite the treatment duration, decrease the occurrence of complications, and secure the therapeutic efficacy in managing NRDS.

520 The role of abdominal drains in Laparoscopic Appendicectomy: a prospective study of 260 patients

Abstract Aims Guidance regarding the use of antibiotics and drains following laparoscopic appendicectomy remains unclear. We aim to describe current practice at our unit with the view to forming a local guideline. Method A prospective review of all adult patients undergoing laparoscopic appendicectomy at our unit between July 2021-July 2022 was performed. Data was collected from electronic patient records and theatre software, including patient demographics, blood and imaging results and drain and antibiotic details where applicable. Results 260 patients underwent laparoscopic appendicectomy (53.1% female) with a median age of 38 years (IQR 30.75). 87.7% were positive for appendicitis on histology.11.2% were discharged within 23 hours from admission. The median length of stay was 2 days (IQR 2). 70.7% received postoperative antibiotics with a median duration of 5 days. 25.4% had a drain inserted and had a significantly longer inpatient stay (3 vs 2 days, p&amp;lt;0.001). Those with drains had a higher median CRP compared to those who did not (137 vs 38, p=&amp;lt;0.001) and this association remained significant on multivariate analysis when controlling for white blood cell count and lactate (p&amp;lt;0.001). Patients who had post-operative antibiotics or a drain were not more likely to re-present following discharge (p=0.586 and p=0.169 respectively). Conclusions In our cohort drains did not reduce likelihood of complications but increased length of time in hospital. Further research is needed to identify specific patients, if any, who would benefit from drain use.

Incidence and risk factors of venous thrombotic events in patients with interstitial lung disease during hospitalization

BackgroundStudies on the incidence of venous thromboembolism (VTE) events in patients with interstitial lung disease (ILD) are limited and the results are inconsistent. The aim of this research was to investigate the incidence and risk factors of VTE in ILD during hospitalization.Materials and methodsIn this retrospective, cross-sectional, observational study, a total of 5009 patients diagnosed with ILD from January 2016 to March 2022 in our hospital were retrospectively included. In ILD patients, VTE including pulmonary thromboembolism (PTE) and deep vein thrombosis (DVT) were screened from the electronic medical record system. Diagnosis of PTE and DVT were performed by CT pulmonary angiography (CTPA), CTV or ultrasound. And then the incidence and risk factors of VTE in different types of ILD were assessed.ResultsAmong 5009 patients with ILD, VTE was detected in 129 (2.6%) patients, including 15(0.3%) patients with both PTE and DVT, 34 (0.7%) patients with PTE and 80 (1.6%) patients with DVT. 85.1% of patients with APE were in the intermediate-low risk group. The incidence of VTE in Anti-Neutrophil Cytoplasmic Antibodies -associated vasculitis related ILD (ANCA-AV-ILD), hypersensitivity pneumonitis and idiopathic pulmonary fibrosis (IPF) respectively was 7.9% and 3.6% and 3.5%. In patients with connective tissue disease-associated ILD (CTD-ILD), the incidence of VTE, DVT, PTE, combined PTE and DVT respectively was 3.0%, 2.3%, 0.4% and 0.3%. Among the various risk factors, different ILD categories, age ≥ 80 years (OR 4.178, 95% CI 2.097–8.321, P < 0.001), respiratory failure (OR 2.382, 95% CI 1.533–3.702, P < 0.001) and varicose veins (OR 3.718, 95% CI 1.066–12.964, P = 0.039) were independent risk factors of VTE. The incidence of VTE in patients with ILD increased with the length of time in hospital from 2.2% (< 7 days) to 6.4% (> 21 days).ConclusionThe incidence of VTE during hospitalization in ILD patients was 2.6%, with a 1.6% incidence of DVT, higher than the 0.7% incidence of PTE. Advanced age, ILD categories, respiratory failure and varicose veins as independent risk factors for the development of VTE should be closely monitored.

Cohesión familiar y tiempo de internamiento en pacientes con trastornos mentales de un hospital de Lambayeque, Perú

Mental disorders represent about 22% of the total burden of disease, and family support plays an important role in the length of hospitalization time in these patients. We described the family cohesion and the time of hospitalization in patients of the psychiatric service of the Almanzor Aguinaga Asenjo National Hospital (H.N.A.A.A) during 2019. This is a cross-sectional descriptive census-type study, in which a questionnaire of 11 questions on family cohesion was applied. Sociodemographic and clinical data were collected through a data collection form. 60 patients were surveyed, the median age was 50 years, the most frequent diagnosis was schizophrenia; most are female, not working and are single. The median length of detention was 12.5 days. Those who respond positively to questions tend to stay longer

A Ten-Year Review of Treating Active Duty Military Service Members in a Gold-Standard Western Region Military Intensive Outpatient Program

Prior to the integration of Intensive Outpatient Programs (IOPs) into the U.S Army Behavioral Health Service Line (BHSL) in 2015, very few military IOPs existed to meet the unique needs of active-duty service members. As a director and clinician of the gold-standard Western region military IOP, it is imperative to share first-hand experiences and expertise with the scientific community so that it can be used as a template for the future establishment of IOPs. Along with these first-hand experiences and expertise, evidentiary support from current research on best practices for operating Military IOPs is offered. It is noteworthy to mention that from the inception of this Western region military IOP in 2010 to the present, treatment outcomes have been maintained and analyzed to substantiate the clinical benefits of this program. These clinical outcome measures were the determining factor used by U.S. Army MEDCOM to substantiate IOPs as a BHSL. This IOP provides fiscally cost-effective treatment and decreases the length of hospitalization time resulting in lowered fiscal expenses. Furthermore, a rationale and analysis for the utilization of dialectical behavior therapy, cognitive processing therapy, and complimentary alternative medicine as treatment modalities in current IOP is justified. Along with the above topics, this article also reviews the relevancy and benefits of group therapy as a viable intervention in the context of military culture and group cohesion.

Classical McIndoe Technique Versus the McIndoe Technique with a Neovaginal PACIENA Prosthesis® and No Skin Graft.

An observational, retrospective study was completed to compare the results of the PACIENA clinical trial (using the modified McIndoe technique) with a historical control group of nine patients who were operated on at San Juan University Hospital (1992–2015) using the classic technique. The PACIENA clinical trial included seven patients with vaginal agenesis who were operated on at two reference sites (May 2017–May 2018) using a neovaginal polylactic acid (PLA) prosthesis (PACIENA® prosthesis) and avoiding the use of a skin graft. The results illustrate a reduction in the length of surgery, 86.43 ± 4.75 min in the group with no skin graft compared to 155.56 ± 28.44 in the control group (p < 0.05); and reduction in the length of hospitalization time. Differences were also registered in the length of the neovagina, the average being 8.93 ± 1.42 cm for cases and 6.56 ± 1.13 cm for controls, with no differences in neovaginal epithelialization times or in the satisfaction of sexual relations occurring between groups. The modification of the classical McIndoe technique using the neovaginal PACIENA® prosthesis appears to be successful, obtaining good clinical results with shorter surgery and hospitalization times.

104-LB: Glucose-Insulin-Potassium (GIK) as a Proposed Treatment for Normoglycemic Diabetic Ketoacidosis: An Old Friend for a New Foe?

Introduction: Glucose, Insulin, and potassium (GIK) infusions were introduced into medical practice to reduce myocardial injury during a heart attack in 1962. Euglycemic diabetic ketoacidosis (EDKA) is a clinical triad comprising increased anion gap metabolic acidosis, ketonemia or ketonuria and blood glucose levels &amp;lt;250mg/dL. Based on common treatment delays due lack of hyperglycemia, we decided to start a new proposed protocol for patients with confirmed EDKA that included the use of GIK and compared them with historical controls before the protocol was established. GIK solution was prepared with Dextrose 5% solution 500 cc, 10 UI of short acting insulin al 10 mmol KCl. At al initial rate of 100 ml/hr. Objectives: Describe general characteristics and compare time to remission, length of ICU stay and length of hospital time between patients with SGLT2i-associated EDKA in whom GIK was used compared to standard care. Design: A Cohort study was designed to compare objectives between EDKA patients treated with a GIK-adapted protocol versus previous patients treated with standard of care of DKA. Patients and Methods: 4 Patients with EDKA treated with new protocol were compared with 7 previous patients treated with ADA recommendations for DKA. Results: 41.66% of patients were male, type 2 diabetes was initially diagnosed in 66.66% of patients. No differences in ER characteristics between standard vs. GIK group. The use of GIK as an add-on treatment to standard care was associated with a significant lower time to resolution (1.5±0.5 vs. 3.57±1.61, p&amp;lt;0.01), fewer ICU days (2.5±0.57 vs. 5.57±1.98, p&amp;lt;0.01), in-hospital days (4.5±0.577 vs. 11.85±3.43, p&amp;lt;0.01). No differences in hypoglycemic or hipo/hyperkalemia were found. Conclusions: With the wide use of SLGT2 inhibitors there has been a similar increase in the number of SGLT2i-associated EDKA. Were propose a different way of management of these patients. More research is needed in this field and entity. Disclosure D. Espinoza-Peralta: None. J. Monjardin-Rochin: None. M.E. Búrquez-González: None. L.G. Mireles-Zavala: None.

Relationship between nutritional status and length of hospital stay in oncological surgery.

e13591 Background: In Germany, a serious illness is the main cause of malnutrition. Various studies have already shown that the length of time in hospital for various diseases and operations in malnourished patients increases. This leads to a deterioration in the quality of life of the patient and results in considerable costs for the health care system. Methods: In order to investigate the relationship between nutritional status and length of hospital stay, a patient group of 363 patients who had a tumor with the primary tumor in the gastrointestinal tract was first identified. All patients had an NRS score of 3 or greater and a meaningful laboratory with regard to protein and albumin levels and / or results of a bioelectrical impedance analysis. The average length of stay for these patients was determined depending on the various parameters. Results: The present study shows that malnourished patients have to stay in the hospital for between 2 and 11.1 days longer. When evaluating the NRS score, the protein and albumin level as well as the BCM and the ECM / BCM index, a longer hospital stay of malnourished patients compared to those who were not malnourished was demonstrated. The BMI is an insufficient parameter to describe the nutritional status. An extension of the length of hospital stay cannot be demonstrated only on the basis of the BMI. Conclusions: Since an inadequate nutritional status obviously affects the length of hospital stay in oncological patients, they should be examined early for malnutrition. The length of stay can be shortened through nutritional therapy measures, which also leads to a significant reduction in costs.

HUBUNGAN PENGETAHUAN DAN SIKAP PERAWAT DALAM PENATALAKSANAAN PEMBIDAIAN PASIEN FRAKTUR DI RS BHAYANGKARA PALEMBANG 2018

Traffic accidents have been the concern of many parties. WHO data in 2015 the number of traffic accidents occurring in 180 countries have the most frequent fracture victims in the upper extremity by 36, 9% and lower extremities of 65.2%. The high rate of incidence of fractures can affect the length of time in hospital so require urses who have good competence. This study aims to know the relationship of knowledge and attitude of nurses in the splint management of fracture patients. The location of research was at Bhayangkara Hospital in IGD and Jana Nuraga . This research was a quantitative research with cross sectional design. The sample in this research amounted 32 respondents selected by using total sampling technique. The data in this research was obtained by using questionnaire instrument, then analyzed by using chi square test. This research was conducted on April 26 th -May 11 th , 2018 held at Bhayangkara Hospital Palembang. The result of data analysis showed the correlation between knowledge and attitude in the management of the fracture in the IGD and the Jana Nuraga 2 Hospital Bahyangkara Palembang with the value (p value <0,005). It is expected that the Bhayangkara Palembang Hospital to continue to improve the knowledge of nurses by through various training and seminars especially in the treatment of fractures so as to generates nurses who have the competence of skill in providing services to the fracture patient. Keywords: Knowledge, Attitude, and Splint Of Fracture

18-month outcomes of heterologous bilateral hand transplantation in a child: a case report

Although heterologous vascular composite allotransplantation has become a burgeoning treatment option for adult amputees, there have been no successful cases previously reported in children. Here, we describe the surgical, immunological, and neurorehabilitation details with functional outcomes 18 months after heterologous bilateral hand and forearm transplantation in an 8-year-old child with quadrimembral amputations and a previous kidney transplant. 2 years of extensive preparation by medical and surgical teams preceded the hand-forearm transplantation of this child. The initial immunosuppressive protocol included thymoglobulin, tacrolimus, prednisone, and mycophenolate mofetil. In July, 2015, our vascularised composite allotransplantation team did the first bilateral hand and forearm transplantation in a child, an 8-year-old boy with previous living-related kidney transplantation. The surgery included four teams working simultaneously on the donor and recipient limbs, aided by customised cutting guides that aimed to reduce ischaemia time. Following an extended length of time in hospital, skin biopsies and close monitoring of renal function and drug concentrations occurred weekly for the first 3 months and were slowly tapered to monthly, and then quarterly. Skin biopsies were also done when tissue rejection was suspected. Paediatric-specific rehabilitation techniques were applied to promote patient engagement during rehabilitation. Progress was assessed by monthly sensory and motor function tests during routine clinic visits and with serial functional brain imaging studies, including structural brain MRI, magnetoencephalography and transcranial magnetic stimulation. The surgery lasted 10 h and 40 min. Vascular revision of the ulnar artery was required a few hours postoperatively. There were no further immediate postsurgical complications. Rejection episodes occurred throughout the first year but were reversed. An increase in serum creatinine led to the addition of sirolimus at 3 months after transplantation with concomitant reduction in tacrolimus targets. Sensibility to light touch was present by 6 months after transplantation. Intrinsic hand muscle innervation was present by 7-10 months after transplantation. At 18 months, the child had exceeded his previous adapted abilities. As of 18 months after transplantation surgery he is able to write and feed, toilet, and dress himself more independently and efficiently than he could do before transplantation. He remains on four immunosuppressive medications and functional neuroimaging studies have shown motor and somatosensory cortical reorganisation. Hand transplantation in a child can be surgically, medically, and functionally successful under carefully considered circumstances. Long-term data on the functional trajectory, neurological recovery, psychological sequelae, and the potential late effect of immunosuppression are still needed to support broader implementation of paediatric vascular composite allotransplantation. The Children's Hospital of Philadelphia.

Effect observation of gastrointestinal nutrition therapy on patients with neonatal scle-redema and nursing experience

Objective To study effect of gastrointestinal nutrition therapy on patients with neonatal scleredema and nursing methods. Methods A total of 70 patients with neonatal scleredema were selected and divided into control group(31 cases)and observation group(39 cases). The control group adopted the routine nursing, based on the control group gastrointestinal nutrition therapy was used in the observation group. Treatment time and treatment effect were compared between groups. Results In the observation group patients'body temperature recovery time, scleredema disappearing time, the length of hospitalization time were significantly shorter than those in the control group. Healing and efficient were significantly higher than those in the control group. The differences were statistically significant with comparison between the two groups(P<0.05). Conclusions The implementation of gastrointestinal nutrition therapy on patients with neonatal scleredema is safe and effective and has important significance in clinic. Key words: Neonatal scleredema; Gastrointestinal nutrition therapy; Nursing; Effect

Surgical Outcomes and Complications of Prophylactic Salpingectomy at the Time of Benign Hysterectomy in Premenopausal Women

To compare the surgical outcome and short-term postoperative complications in premenopausal women who had undergone hysterectomies for benign indication with or without prophylactic bilateral salpingectomy. A cohort of consecutive women who had undergone hysterectomy plus bilateral salpingectomy between May 2012 and July 2014 (group A) were compared with the same number of consecutive premenopausal patients who had undergone simple hysterectomy operated on before May 2012 (group B). Inclusion criteria included premenopausal women and benign indication for surgery (Canadian Task Force classification III). tertiary care hospital. Salpingectomy versus no salpingectomy at the time of benign hysterectomy. A total of 97 and 71 patients were included in groups A and B, respectively. No differences between the 2 groups were observed regarding patient characteristics. The average operative time, estimated blood loss, uterine size, and intraoperative complications were similar between groups. The mean (standard deviation) length of hospitalization time was 43.7 (22.4) hours in group A and 53.9 (83.5) hours in group B (p = .008). There were no significant differences in terms of the incidence of postoperative complications, emergency visits after readmission, and hospital readmission between both groups of patients. Prophylactic salpingectomy at the time of benign hysterectomy in premenopausal women is safe and feasible and does not worsen surgical outcomes or the incidence of intraoperative and postoperative complications.

Quality Analysis on Clinical Pathway Medical Records

Objective. To investigate the content and method of quality control for clinical pathway (CP) medical records. Methods. The items of quality control for medical records were established according to standardized CP of hospitalization process and treatment chart for patients having acute ST-elevation myocardial infarction. Totally 121 cases of acute ST-elevation myocardial infarction were investigated for medical records quality based on clinical pathway. Results. Out of the 121 medical records of acute ST-elevation myocardial infarction, the length of hospitalization time is the most unconformable item in CP standard with a defect rate of 14.1%, while the admission diagnosis, diagnostic evidence, inspection items, operation time, the discharge evaluation, and variation factors possess a defect rate between 4.1% and 12.4%. Conclusion. The quality control of medical record is closely related to the standardization of CP implementation. It will be helpful in carrying out CP through setting up a standardized CP medical record quality control system and CP medical record quality control measures for implementing focus on CP management.

Application of colonic irrigation of metronidazole combined with 5-FU in the one-stage resection and primary anastomosis to treat the left colonic neoplasms with intestinal obstruction

Objective To study the application effect of colonic irrigation of metronidazole combined with 5-FU in the one-stage resection and primary anastomosis to treat the left colonic neoplasms with intestinal obstruction.Methods 200 patients from March 2000 to May 2010 with the left colonic neoplasms with intestinal obstruction in our hospital were randomly divided into the experimental group and the control group.The control group with 100 patients was treated with regular one-stage resection and primary anastomosis while the experimental group with 100 patients was treated with one-stage resection and primary anastomosis and colonic irrigation of metronidazole combined with 5-FU.The clinical curative effect was observed and compared.Results The incidence rate of complication and length of hospital time of the experimental group were obviously lower than those of the control group.There was statistically significant difference between two groups(P ＜ 0.05).Conclusion Colonic irrigation of metronidazole combined with 5-FU in the one-stage resection and primary anastomosis to treat the left colonic neoplasms with intestinal obstruction can lower the incidence rate of complication and fasten the heal of the anastomosis. Key words: Metronidazole combined with 5-FU; Colonic irrigation; One-stage resection and primary anastomosis; Left colonic neoplasms with intestinal obstruction

Enhanced recovery after surgery: benefits for the stoma care patient

Enhanced recovery can be seen as the use of evidence and research that when used for patients undergoing stoma-forming surgery (and other surgery) leads to a better recovery (Lassen et al, 2009; Ahmed et al, 2010). Moving patients towards adopting an opinion that 'up and mobile' immediately after surgery is the pathway to success, and is an essential element in implementing enhanced recovery after surgery. It can lead to several clinical benefits, including fewer complications (e.g. infection) and a shorter length of time in hospital (Faiz et al, 2008). While having a shorter length of stay is positive, it does result in less time being available to the ostomate (person with a stoma) to become proficient with their stoma care. Changes need to be made to nursing services to encompass this new challenge; for example, the use of preoperative training tools. These changes can result in satisfied ostomates (Bryan and Dukes, 2010) who have fewer post-discharge problems with their stoma. This article outlines the concept of enhanced recovery after surgery and its benefits for patients with a stoma.

Risk factors and preventive measures for catheter-related bloodstream infections

To review the risk factors of central venous catheter-related bloodstream infection and the recommendations for its prevention. PubMed, Cochrane Collaboration and Bireme were reviewed using the following inclusion criteria: studies published between 2000 and 2010, study design, hospitalized pediatric population with central venous catheters and studies about central venous catheter-related bloodstream infection. In addition, reference documents were retrieved from the Centers for Disease Control and Prevention and the Brazilian Health Surveillance Agency. Associated risk factors were: duration of central venous catheter use; length of hospitalization time; long-term indwelling central venous catheter; insertion of central venous catheter in intensive care unit; nonoperative cardiovascular disease; parenteral nutrition; and administration of blood products. The preventive measures recommended by studies in the literature are: development of records and multidisciplinary guidelines of care for central venous catheter insertion and maintenance; correct use of central venous catheter insertion technique; use of chlorhexidine-impregnated dressings; early catheter removal; and adoption of continued education programs for the healthcare team. The control of risk factors may lead to a reduction of 40% or greater in the incidence of catheter-related bloodstream infection. Insertion surveillance and special attention to central venous catheter in pediatric populations should guide the standardization of healthcare routines to achieve standards for comparisons within and between institutions.

Nursing research and monitoring of nosocomial infection related factors among respiratory department patients

Objective To analyze nosocomial infection related factors among respiratory department patients and discuss corresponding nursing measures. Methods Clinical data of 2142 patients with respiratory disease were analyzed retrospectively, the nosocomial infection associated risk factors were analyzed. Results 138 cases (6.4%)in 2142 patients suffered nosocomial infection, the related risk factors included age, the length of hospitalization time, whether having aggressive treatment or basic diseases of other system, whether used broad- spectrum antibiotics or chemotherapy drugs or hormone, etc. Conclusions Positive and effective treatment of primary disease, disinfection and isolation of ward, cutting off infection pathway, doing basic job, and keeping respiratory tract smooth were effective measures to reduce nosocomial infection. Key words: Nosocomial infection; Risk factors; Nursing measures

Effect of insulation during surgery on the prognosis of hypothermic trauma patients

Objective To investigate the effect of insulation during surgery on the prognosis of hy-potherrnic trauma patients. Methods Trauma patients (80 cases) with injury severity score (ISS) of 16～40 and anal temperature < 36℃,were selected and randomly divided into the insulation group and the control group with 40 cases in each group.Both operations went along under room temperature. The in-sulation group keep anal temperature ≥ 36 ℃,while the control group received no insulation interven-tion.The palinesthesia time,time length of hospital stay,infection of wound and fatality were observed in the two groups. Results The palinesthesia time and time length of hospital stay dramatically shortened,the infection rate of Wound and fatality reduced in the insulation group compared with that of the control group (P<0.05). Conclusions Insulation during surgery can significantly shorten the palinesthesia time and time length of hospital stay,reduce the infection rate of wound and fatality. Key words: Hypothermia; Trauma; Surgery; Insulation