为早产新生儿开发基于网络的氧化仪表板:质量改善倡议
J A Poppe1, R S Smorenburg2, T G Goos2,3
1Department of Neonatal and Paediatric Intensive Care, Division of Neonatology, Erasmus MC Sophia Children's Hospital, University Medical Center Rotterdam, Rotterdam, The Netherlands. j.poppe@erasmusmc.nl.
Journal of medical systems
|April 24, 2024
概括
一个新的基于网络的仪表板为早产新生儿提供实时氧化数据,改善临床决策. 该工具有助于临床医生更好地管理氧气治疗,并评估NICU中的呼吸条件.
科学领域:
- 新生儿医学 新生儿医学
- 临床信息学 临床信息学
- 呼吸系统护理 呼吸系统护理
背景情况:
- 过早出生的新生儿需要精确的氧气监测,以获得最佳的结果.
- 由于数据呈现的局限性,当前的临床实践往往错过了关键的氧化模式.
- 这项研究解决了在新生儿重症监护室 (NICU) 改进实时氧化数据利用的需求.
研究的目的:
- 开发一个基于Web的仪表板,用于实时和总结的氧化数据可视化.
- 评估这个仪表板在支持早产新生儿临床决策方面的可行性.
- 加强在新生儿重症监护室的氧气治疗的管理.
主要方法:
- 来自脉冲氧计和呼吸器的同步数据被存储用于趋势可视化.
- 通过临床医生采访设计了一个基于Web的仪表板.
- 一个初步版本在每日临床试验中对新生儿的妊娠年龄 < 32 周进行了评估.
主要成果:
- 仪表板可视化氧和 (SpO2),吸入氧的分数 (FiO2),SpO2/FiO2比率,以及SpO2曲线的面积.
- 历史图显示了SpO2值的分布.
- 临床医生在65%的评估中对缺氧的评估不同,并且在75%的患者中发现了附加值.
结论:
- 为早产新生儿开发了一个可行的,基于网络的氧化仪表板.
- 仪表板提供了更清晰,客观的信息,支持治疗策略的定制.
- 这种工具可以提高临床决策在NICU的每日轮.
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