快速响应事件 迅速增加了护理目标 讨论和代码状态变化
Joelle N Friesen1, Erik J Wanberg2, Alexandra Allman1
1Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
The American journal of hospice & palliative care
|July 29, 2025
概括
快速反应小组 (RRT) 的激活与更多的护理目标 (GOC) 讨论和代码状态更改有关,特别是对于被转移到重症监护室的患者. 早期的中国政府讨论对于面临临临床恶化的住院患者至关重要.
科学领域:
- 医疗保健 医疗保健 医疗保健
- 患者的治疗结果.
- 临床恶化管理管理
背景情况:
- 快速反应小组 (RRT) 是临床恶化的住院患者的标准.
- 在RRT激活和关怀目标 (GOC) 讨论之间的关联需要进一步的研究.
研究的目的:
- 确定RRT激活是否与中国政府随后的讨论相关.
- 评估RRT对代码状态变化和患者结果的影响.
主要方法:
- 对使用RRT激活药物服务的成年患者的回顾性分析 (2023年1月至12月).
- 主要结果:中国政府在RRT激活后72小时内进行讨论.
- 二次结果:代码状态变化,过渡到舒适护理,30/90天死亡率;经过调整以考虑混因素.
主要成果:
- 在RRT后转移到ICU的患者中,GOC讨论 (OR 1.52),代码状态更改 (OR 2.43) 和舒适护理过渡 (OR 1.47) 的几率明显更高.
- 转移ICU也与30天 (OR 1.39) 和90天死亡率 (OR 1.30) 的增加有关.
结论:
- 在RRT激活后的ICU转移强烈预测了中国政府的下游讨论,代码状态修改和以舒适为中心的护理.
- 强调中国政府积极讨论的重要性,无论预期的临床衰退情况如何.
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