紧急重症监护室特设多学科团队会议的演变和影响:五年分析
Tetsuya Yumoto1, Takashi Hongo1, Takafumi Obara1
1Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama 700-8558, Japan.
Journal of clinical medicine
|August 10, 2024
概括
尽管整体会议数量保持稳定,但ICU中的特设多学科团队会议 (MDTM) 每年都在增加. 这些会议通常涉及终身护理,对于复杂的患者管理至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健管理的管理
- 患者护理协调与协调
背景情况:
- 在重症监护室 (ICU) 中,多学科团队会议 (MDTM) 是必不可少的.
- 由于时间限制,每天的轮次可能不足以处理复杂的案件和敏感问题.
- 了解临时MDTM的特征对于优化患者护理至关重要.
研究的目的:
- 描述ICU中的特设多学科团队会议 (MDTMs) 的详细信息和特点.
- 调查ICU会议结构变化对特设MDTM频率的影响.
主要方法:
- 在大阪大学医院 (2019-2023) 的2487名成年急诊ICU入院者的回顾性分析.
- 包括每周定期的多学科团队ICU轮 (从2020年6月起) 和定期的周日上午MDTM (2022年4月起) 的数据.
- 多重物流回归分析,以评估结构变化对特设MDTM频率的影响,并根据年度变化进行调整.
主要成果:
- 对6.8%的患者进行了MDTM,通常是患有严重疾病的患者 (例如,COVID-19患病率较高,APACHE II分数,更长的ICU停留).
- 进行特设MDTM的可能性每年都在增加 (调整后OR为1.19;95%CI为1.04-1.35),尽管MDTM总数保持不变.
- 59.0%的MDTM涉及终身护理,约有11名参与者,主要是护士和重症监护医生.
结论:
- 在ICU轮和会议结构的变化可能与临时MDTM频率的增加有关.
- 临时MDTM在管理复杂的ICU患者护理方面发挥着不断发展和重要的作用.
- 对优化这些会议的进一步研究可以提高患者的治疗结果.
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