在床边和专家护士之间使用电子校准器进行计算机化QT和QTc间隔测量的协议
The Journal of cardiovascular nursing
|October 3, 2023
概括
从床边监视器进行的计算机化QT/QTc测量与护士的测量密切一致,提供了一个潜在的更准确和更有效的替代方案. 这一发现表明,计算机化方法可以减少护士的工作量,并提高住院患者心电图监测的准确性.
科学领域:
- 心脏病学 心脏病学
- 临床监测 临床监测
- 电心电图是指心电图.
背景情况:
- 在心电图上延长QT/QTc延长增加了入院患者的Torsade de Pointes风险.
- 手动心电图测量是耗时的,容易出现不准确的情况.
- 自动床边监视器QT/QTc与手动护士测量之间的协议尚未确立.
研究的目的:
- 评估计算机化QT/QTc测量与专家和护士进行的测量之间的一致性.
- 评估任何观察到的QT/QTc测量差异的临床意义.
主要方法:
- 在3个重症监护病房进行的前性观察性研究.
- 使用床边监视器和电子校准器,收集了每位患者最多2次QT/QTc测量.
- 使用布兰德-阿尔特曼测试分析了测量一致性.
主要成果:
- 分析包括34名ICU患者的54次QT/QTc测量.
- 计算机化与专家护士的QT偏差: -11.04±4.45毫秒 (P=.016).
- 计算机化与床边护士的QTc偏差:18.49±7.90毫秒 (P=.022).
结论:
- 计算机和护士执行的QT/QTc测量显示出密切一致.
- 从统计学上显著的差异小于20毫秒,表明没有临床意义.
- 计算机测量可以减少不准确性和护士负担,提高实践遵守.
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