危急病患者在医院内运输期间的不良事件:多中心,前性,观察性研究 (I-TOUCH研究)
Kapil G Zirpe1, Anand M Tiwari1, Atul P Kulkarni2
1Neuro-intensive Care Unit, Ruby Hall Clinic, Pune, Maharashtra, India.
概括
危急病患者的医院内运输导致频繁的不良事件 (AE),特别是心血管不稳定. 紧急运输和由医生领导的团队增加了AE风险,突出了提高患者安全的标准化协议的需要.
科学领域:
- 关键护理医学 关键护理医学
- 患者安全 患者安全
- 医疗保健管理的管理
背景情况:
- 危急病患者需要经常在医院内转移诊断和治疗.
- 这些运输对不良事件 (AE) 构成重大风险.
- 了解AE的发生率和影响对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定AEs在医院内运输期间的发病率,严重程度和患者结局的影响.
- 在接受医院内运输的重症患者中确定AE的预测因子.
主要方法:
- 一项多中心前性观察性研究,涉及15个印度三级医疗中心的893名重症患者.
- 收集的数据包括患者人口统计,疾病严重程度 (APACHE II分数),运输细节,副作用和患者结局.
- 在5个月的时间内分析了AE及其预测因素.
主要成果:
- 分析了1065次医院内运输,记录了102次意外事件.
- 心血管不稳定是最常见的AE (30.4%).
- 对AE的独立预测因素包括较高的APACHE II分数,出现的运输和特定的团队组成.
结论:
- 危急病患者的医院内运输与AEs的高发病率有关.
- 紧急运输和由医生领导的团队与AE风险增加有关.
- 建议在运输前稳定患者,并使用标准化的协议来提高安全性.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Cardiac Catheterization I: Pre-Procedure Overview
56
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
56
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10


