一组新的指标与共识定义,用于麻醉相关的严重发病率:一个范围审查,其次是Delphi研究
Marie-Pierre Bonnet1, Perrine Guckert2, Cécile Boccara3
1Sorbonne University, Department of Anaesthesia and Critical Care Medicine, Armand Trousseau Hospital, DMU DREAM, GRC 29, AP-HP, 75012 Paris, France;; Université Paris Cité, Centre for Epidemiology and Statistics (CRESS), Obstetrical Perinatal and Paediatric Epidemiology Research Team, EPOPé, INSERM, INRA, 75014 Paris, France.
这项研究建立了基于共识的严重麻醉相关发病率指标,改善了质量和安全监测. 这些定义在临床上适用于研究和实践.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 监测麻醉相关的严重发病率对于评估护理质量和安全至关重要.
- 之前的研究缺乏专家共识,有重叠的定义和手术并发症,并且很难在临床上应用.
研究的目的:
- 开发一套标准化指标,用于麻醉相关的严重发病率.
- 为这些指标建立临床上有用的,共识的定义.
主要方法:
- 进行了关于麻醉相关严重发病结果的研究范围审查 (2010-2021年).
- 利用国际专家的Delphi过程,就指标及其定义达成共识.
主要成果:
- 确定了68个结果,分为8个类别的34个指标.
- 在26个关键指标上达成共识,包括急性心力衰竭,ARDS,败血症和药物错误,具体定义.
结论:
- 开发了一套新的,共识性指标,用于麻醉相关的严重发病率.
- 这些指标和定义适用于临床环境和研究中的实际应用.
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