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实践者仪表板反改善了心脏手术期间的血糖水平,但不是温度遵守:单个中心的回顾性分析分析
Ronald A Kahn1, Natalia Egorova2, Yuxia Ouyang2
1Department of Anesthesiology, Perioperative and Pain Medicine, The Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY, United States of America.
Journal of clinical anesthesia
|June 19, 2024
概括
实践者仪表板改善了心脏手术患者的手术内血糖控制,显著降低了葡萄糖水平并增加了遵守. 温度控制和感染率不受这种反工具的影响.
科学领域:
- 麻醉学 麻醉学
- 心血管外科心血管外科
- 医疗信息学 医疗信息学
背景情况:
- 在心脏手术期间维持正常血糖和正常热量对于患者的治疗结果至关重要.
- 术内血糖控制和温度管理是复杂的,需要持续监测.
- 对于从业人员来说,反机制可能会提高对临床指南的遵守.
研究的目的:
- 评估个性化医生仪表板对心脏手术期间手术内血糖和温度控制的影响.
- 为了确定仪表板的反是否会影响维持正常血糖和正常热量.
主要方法:
- 一项对2021年2月至2023年2月期间进行的2,255次心脏手术手术的回顾性审查.
- 分析了15名麻醉师的数据,比较了每月个性化反仪表板实施前后的结果.
- 血糖合规性定义为最终血清葡萄糖在80-180 mg/dL之间;温度合规性作为手术最后30分钟的平均温度在35-37.3°C之间.
主要成果:
- 仪表板的实施与平均和最终葡萄糖度的显著下降有关.
- 血糖合规性从71.4%提高到87.1% (OR: 2.71).
- 没有观察到最终温度,温度遵守或伤口感染的发生率的显著差异.
结论:
- 个性化实践者仪表板可以成为在心脏外科手术中增强手术内血糖控制的有效工具.
- 反机制证明对葡萄糖管理产生积极影响,而不会影响温度调节或感染率.
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