在重症监护病房控制血液气体测量
D Roberts1, P Ostryzniuk, E Loewen
1Department of Medicine, University of Manitoba, Winnipeg, Canada.
Lancet (London, England)
|June 29, 1991
概括
实施血液气体分析方案显著减少了44%的检测频率在重症监护室. 这一变化没有影响患者的人口统计,疾病严重程度或结果,证明了有效的协议实施.
科学领域:
- 关键护理医学 关键护理医学
- 临床病理学 临床病理学
- 医疗保健管理的管理
背景情况:
- 血液气体分析是重症监护室 (ICU) 中常见的诊断工具.
- 诊断试验指示的协议旨在优化资源利用并减少不必要的程序.
- 实施这些协议对成年ICU血液气体分析频率的影响需要评估.
研究的目的:
- 评估一项指示方案对成人重症监护病房血气测量频率的影响.
- 确定协议是否影响了患者的特征,疾病严重程度或临床结果.
- 评估对动脉和肺动脉导管利用的影响.
主要方法:
- 在两个成年重症监护病房中,在两个时期内收集前性数据:在协议实施前7个月和12个月后.
- 收集人口统计,诊断,结果和干预数据.
- 血气分析频率的比较在前和后的协议期间.
主要成果:
- 在两个时期之间,在人口特征,疾病严重程度或类型,存活率或动脉或肺动脉导管使用频率方面没有发现显著差异.
- 实行该方案后,血液气体分析频率的统计显著减少了44% (p < 0.001).
结论:
- 引入了血液气体分析指示的协议,有效地减少了成年ICU中这种调查的频率.
- 该协议的实施实现了血液气体检测的显著减少,而不会对患者的结果或其他侵入性监测的资源利用产生不利影响.
- 这表明,基于证据的协议可以成功指导在重症监护机构的诊断测试利用.
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