一个协作性的儿科应急准备改善干预对患者医院结果的影响
Mohannad Abu-Sultanah1, Riad Lutfi1, Samer Abu-Sultaneh1
1The Department of Pediatrics (M Abu-Sultanah, R Lutfi, S Abu-Sultaneh, and K Abulebda), Division of Pediatric Critical Care Medicine, Riley Hospital for Children at Indiana University Indianapolis.
Academic pediatrics
|April 24, 2024
概括
通过协作干预,提高一般急诊室 (GED) 的儿科准备性得分与儿童重症监护室 (PICU) 和住院时间的缩短有关. 这凸显了提高儿科准备度的重要性,以获得更好的患者结果.
科学领域:
- 儿科急救医学 儿科急救医学
- 改善医疗保健系统的改善
- 关键的护理关键的护理
背景情况:
- 在一般急诊室 (GEDs) 中的儿科准备对于治疗重症儿童的最佳护理至关重要.
- 儿科准备的现有差异可能会导致低于最佳的结果.
- 协作干预旨在标准化和改善儿科紧急护理能力.
研究的目的:
- 评估协作干预措施以改善权重儿科准备分数 (WPRS) 和患者结果之间的关联.
- 确定加强儿科准备是否影响儿科重症监护室 (PICU) 死亡率,PICU停留时间 (LOS) 和医院LOS.
主要方法:
- 一项干预前后研究分析了从GED转移到儿科重症监护机构的情况.
- 干预包括定制报告,最佳实践分享,护士儿科紧急护理协调员 (PECC) 指定和后续互动.
- 临床结果 (PICU LOS,医院LOS,PICU死亡率) 用描述性统计数据,双变量分析和多变量模型进行评估.
主要成果:
- 该研究包括278名干预前和314名干预后的患者.
- 多变量分析显示,改善WPRS和降低PICU LOS (P=.02) 和医院 LOS (P=.04) 之间存在显著的关联.
- 在干预和PICU死亡率或其他患者结局之间没有发现显著的关联.
结论:
- 改善GED的儿科准备度得分与急症儿童在PICU和医院停留时间的缩短有关.
- 这些发现支持广泛实施儿科准备计划.
- 需要进一步努力传播儿科准备战略,以改善危急儿童的国家结果.
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