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在ECMO计划 (STEP) 之后的标准化疗法;对于儿科ECMO后护理的新方法

Rebekah K H Shappley¹, Christen M Holder², Constance E Poplos³

¹Department of Pediatrics, Division of Critical Care, University of Tennessee Health Science Center, Memphis, TN 38103, USA - Le Bonheur Children's Hospital, Memphis, TN 38103, USA.

The journal of extra-corporeal technology

|September 20, 2024

概括

在ECMO计划 (STEP) 之后的标准化治疗改善了儿科外体膜氧化 (ECMO) 幸存者的随访护理. 这一途径显著增加了神经发育测试和专家转诊,增强了出院后的护理.

科学领域:

儿科重症监护医药儿科重症监护医药
身体外膜氧化 (ECMO) 的结果.
神经发育的后续情况.

背景情况:

需要体外膜氧化 (ECMO) 的儿科患者经常面临长期的神经发育挑战.
有效的退院后护理途径对于优化儿科ECMO幸存者的结果至关重要.
在ECMO计划 (STEP) 之后的标准化治疗方案 (STEP) 是为了满足这些需求而开发的.

研究的目的:

评估在实施STEP排出途径后遵守ECMO后护理指南的情况.
评估STEP对儿童ECMO幸存者的神经发育测试和专家转诊的影响.

主要方法:

该研究比较了STEP计划实施前后的合规率.
数据收集包括跟踪神经发育测试,住院咨询和门诊转诊.
分析了77名从美国医院出院的儿科ECMO幸存者.

主要成果:

实施STEP显著增加了神经发育完整测试,从38.8%增加到74.2%.
时间适当的神经发育测试从71.4%增加到95.6%.
听力学,物理治疗,职业治疗和语音语言病理学的转诊在STEP后显著增加.

结论:

该STEP计划有效地提高了医院和体外生命支持组织 (ELSO) 后续指南的遵守.
实施像STEP这样的故意释放途径可以为儿科ECMO幸存者提供更及时,更全面的神经发育评估.

关键词:

也可以说,也是.后续护理后续护理蓄意放电路径蓄意放电路径神经发育的后续情况儿科ECMO的使用情况在ECMO后的后续护理后,

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