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将PERT带到儿科:儿科多学科肺栓塞反应小组 (PERT) 的初步经验和结果
Mary P Dang1, Anna Cheng2, Jessica Garcia1
1Division of Pediatric Hematology and Oncology, Department of Pediatrics, University of Texas Southwestern Medical Center and Children's Medical Center, Dallas, TX.
Chest
|October 5, 2024
概括
建立一个儿科肺栓塞反应小组 (PERT) 是可行的,并改善了儿科PE患者的护理. 这个多学科的团队增强了专家的访问和及时的先进疗法,作为儿科PE管理的模型.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 心脏病学 心脏病学
- 血液学 血液学 血液学
背景情况:
- 多学科肺栓塞反应小组 (PERTs) 为患有危及生命的肺栓塞 (PE) 的成年人建立.
- 由于儿科PE的罕见性,PERT在儿科中的应用是新的.
- 为临床,教育和研究目的开发儿科PERT范式是一个未被充分利用的概念.
研究的目的:
- 确定在儿科环境中实施PERT的可行性.
- 评估小儿PERT是否可以改善PE患者的护理.
主要方法:
- 制定了一项战略实施方案,以获得机构支持,推出儿科PERT.
- 关键的利益相关者合作实施PERT.
- 收集患者数据,并对PERT实施前后两年期间进行比较.
主要成果:
- 由血液学和多学科专家领导的儿科PERT需要12个月的时间来实施.
- 对30名PERT前和31名PERT后患者的分析显示,在实施后,人们转向了较低风险的PE类别.
- 在PERT后,回声心电图和抗凝开始的时间显著减少,并且符合条件的患者的反疗法显著增加.
- 在重大出血,死亡率或停留时间方面没有观察到差异.
结论:
- 成功建立并采用了儿科PERT模型.
- PERT改善了对专家的访问,加快了先进疗法,甚至在低风险的PE病例中也证明了价值.
- 这种儿科PERT可以作为优化儿科PE护理的潜在最佳实践模型.
关键词:
珀特: 珀特是一座城市.用导管导向的血栓溶解.儿科肺栓塞 儿科肺栓塞儿科 儿科 儿科 儿科肺栓塞 肺栓塞是一种肺栓塞.肺栓塞反应小组的肺栓塞反应小组转注疗法是指转注疗法.静脉血栓塞栓症是一种静脉血栓塞栓.更多相关视频
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