在因喘恶化而住院的儿童中检查睡眠呼吸障碍
Neepa Gurbani1,2, Christine L Schuler1,2,3, Daniel Ignatiuk1,2
1Cincinnati Children's Hospital Medical Center, Division of Pulmonary Medicine, Cincinnati, Ohio, USA.
Pediatric pulmonology
|September 13, 2023
概括
睡眠呼吸障碍 (SDB) 查对于患有喘的住院儿童至关重要. 一项质量改善计划成功实施了查过程,显著提高了这种可治疗的并发症的检测率.
科学领域:
- 儿科肺病学 儿科肺病学
- 睡眠医学 睡眠医学
- 改善医疗保健的质量
背景情况:
- 睡眠呼吸障碍 (SDB) 是一种可治疗的并发症,可以使喘恶化.
- 在患有喘的住院儿童中识别和管理SDB在临床上很重要.
研究的目的:
- 实施和评估一种质量改善 (QI) 倡议,用于查患有喘恶化而住院的儿科患者的SDB.
- 在一个定义的项目时间表内,将SDB选率从0%提高到至少60%.
主要方法:
- 一个多学科的团队使用了QI方法,将密歇根儿科睡眠问卷 (PSQ) 整合到常规护理中,为患有喘的2-18岁儿童住院治疗.
- 关键干预措施包括员工教育,呼吸治疗师参与PSQ完成,以及电子病历修改以提供文件.
- 通过运行图表和描述性统计数据监测进度.
主要成果:
- 在2067名入院患者中,74%完成了PSQ.
- 24%的查患者 (360) 呈阳性SDB查结果,平均年龄为8.6岁.
- 长时间的查率超过80%,在进行常规喘风险查时,PSQ完成率在90%左右.
结论:
- 实施的SDB查过程是可行的,可持续的,并成功地集成到喘护理中.
- 阳性查的高率凸显了儿童喘恶化住院期间评估SDB的必要性.
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