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与ABCDEF重症患者捆绑实施相关的因素:在54个国家进行的国际横截面调查
Junpei Haruna1, Takeshi Unoki2, Keibun Liu3,4,5
1Department of Intensive Care Medicine, School of Medicine, Sapporo Medical University, Sapporo, Hokkaido, Japan.
SAGE open medicine
|January 10, 2025
概括
在全球范围内,ABCDEF捆绑在ICU中的实施率很低. 影响其使用的因素因国家收入而异,需要定制策略来提高重症监护质量.
科学领域:
- 关键护理医学 关键护理医学
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 该ABCDEF捆绑是旨在改善重症监护室 (ICU) 患者结果的指导方针.
- 了解影响其实施的因素对于优化全球重症监护服务至关重要.
研究的目的:
- 调查ABCDEF捆绑在ICU中的实施率.
- 确定与ABCDEF在不同国家收入水平的捆绑实施相关的因素.
主要方法:
- 一项国际一天点患病率研究的横截面二次分析.
- 来自54个国家的135个ICU的664名患者的数据按国家收入水平 (高,中,低) 分类.
- 用多层次的通用线性模型来确定实施因素.
主要成果:
- 在所有收入水平上观察到低的ABCDEF捆绑实施率,很少有患者完成了整个捆绑.
- 多学科团队方法 (元素A) 和机械通风 (元素C) 与实施相关,影响移动性 (元素E).
- 协议促进了实施,而专门的密集医生主要出现在高收入国家.
结论:
- 总体而言,ABCDEF包的执行率较低,凸显了需要改进的情况.
- 实施因素因国家收入而异,需要定制策略,以提高全球ICU护理质量.
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