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使用临床实践指南对儿科肺的结果的影响
Brianna L Spencer1, Dimitra M Lotakis1, Anjali Vaishnav1
1Section of Pediatric Surgery, Department of Surgery, University of Michigan, Michigan Medicine, C.S. Mott Children's Hospital, Ann Arbor, Michigan.
实施临床实践指南对儿科瘤显著减少了手术干预. 初始治疗成功率和住院时间保持不变,证明了指导方针的有效性.
科学领域:
- 儿科手术 儿科手术
- 胸部医学 胸部医学
- 临床实践指南 临床实践指南
背景情况:
- 儿科恩皮埃马的治疗缺乏明确的指导方针,之前的研究表明,手术对纤维解质治疗没有任何优势.
- 有限的文献存在于实践变化和儿科 empyema 的协议实施.
- 在标准化之前,从历史上看,外科医生的偏好决定了empyema治疗方案.
研究的目的:
- 评估机构临床实践指南 (CPG) 对儿科 empyema 管理的影响.
- 为了比较治疗策略和患者在CPG实施前后的结果.
- 通过协议标准化来评估遵守国家指导方针.
主要方法:
- 一项回顾性研究分析了61名患有empyema的儿科患者 (0-18岁) 从2002年至2022年.
- 为了进行比较分析,患者被分为CPG实施前和后的组.
- 统计学显著性是使用P值值<0.05.05来确定的.
主要成果:
- 在CPG实施后,视频辅助胸腔镜手术的使用率从66%降至10% (P <0.01).
- 整体手术干预发生率从76%降至21% (P < 0.01).
- 在抗生素持续时间,ICU或住院时间方面没有发现显著差异.
结论:
- 实施CPG显著减少了儿科医生 empyema 的手术干预.
- 抗生素的使用,停留时间和初始治疗失败率不受CPG的影响.
- 机构CPG在标准化护理和促进遵守国家Empyema管理建议方面被证明是有效的.
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