联合ICU和息护理多学科圆形化模型的临床结果:一个回顾性队列研究
1Department of Geriatric, Palliative, and Continuing Care, Kaiser Permanente Southern California, Los Angeles, California, United States of America.
实施联合住院息治疗 (IPC) 和ICU圆形化模型减少了ICU和住院时间 (LOS). 需要进一步的研究来澄清这种改善的患者流量的临床意义.
科学领域:
- 关键护理医学 关键护理医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 将息治疗整合到重症监护室 (ICU) 的目的是改善患者的治疗结果.
- 多学科圆形化是现代ICU护理的关键组成部分.
- 联合住院息护理 (IPC) 和ICU多学科圆对临床结果的影响需要进一步调查.
研究的目的:
- 评估联合IPC和ICU多学科圆形模型对临床结果的影响.
- 评估在新圆形化模型实施后,ICU停留时间 (LOS) 的变化.
主要方法:
- 回顾性队列研究,比较干预前后6个月的时间.
- 从电子医疗记录 (EMR) 中提取的数据.
- 威尔科克森和奇平方测试用于变量比较;ICU LOS分析的负二项式回归.
主要成果:
- 干预组的ICU LOS (3.7 vs. 3.9天) 和医院 LOS (7.5 vs. 7.8天) 在统计学上显著减少.
- 在心肺复苏率,医院死亡率,机械通风日或反弹率方面没有发现显著差异.
- 多变量分析表明,先前的息护理参与与更长的ICU LOS有关.
结论:
- 联合IPC-ICU多学科圆形化模型与ICU和医院LOS的统计学显著下降有关.
- 观察到的LOS减少的临床意义需要进一步探索.
- 该模型对其他重症监护结果的影响需要进一步研究.
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