在重症监护患者中停止通风的MULtiparametric评分:观察性研究的协议
Iacopo Cappellini1, Andrea Cardoni2, Lorenzo Campagnola1
1Department of Critical Care, Section of Anesthesiology and Critical Care, Azienda USL Toscana Centro, Ospedale Santo Stefano, 59100 Prato, Italy.
Methods and protocols
|May 28, 2024
概括
一个新的得分,MUSVIP (重症监护患者中断通风的多参数得分),准确地预测了成功的输出. 这种工具可以通过优化机械通风断奶来帮助减少重症监护室停留时间和医疗保健费用.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统疗法 呼吸系统疗法
- 临床决策支持 临床决策支持
背景情况:
- 机械通风可以提高生存率,但会带来并发症和成本增加等风险.
- 目前用于确定输出管准备的方法依赖于主观的临床判断.
- 优化机械通风断奶对于减轻患者发病率和医疗保健费用至关重要.
研究的目的:
- 引入和评估重症监护病人的通风停止的MUltiparametric评分 (MUSVIP).
- 开发一种新的,客观的工具,用于预测机械通风患者的成功输出管.
- 提高确定最佳断奶时间的准确性,降低相关风险.
主要方法:
- 一个单中心,观察性,前性队列研究在12个月内进行.
- 纳入了接受侵入性机械通风的成年患者.
- 使用在自发呼吸试验 (SBT) 之前和期间测量的变量来制定MUSVIP得分.
主要成果:
- 初步分析显示,MUSVIP得分具有很高的预测能力,曲线下的面积 (AUC) 为0.815.
- 该得分整合了SBT前和期间的参数,以预测输出成功.
- 预计可以及早识别成功的断奶候选人.
结论:
- 在MUSVIP得分显示了预测成功的输出管的显著潜力.
- 这种工具可以提前识别准备断奶的患者.
- 实施可能会减少重症监护室 (ICU) 停留时间和相关成本,改善临床实践.
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