在体外膜氧化时使用息护理:多中心观察研究
Bridget S Dillon1,2, William C Miller1,2,3, Olivia A Hood1,2
1University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Journal of palliative medicine
|August 20, 2025
概括
在静脉外膜氧化 (VV- ECMO) 治疗的患者中,息治疗咨询 (PCC) 是常见的. 然而,综合PCC与更高的咨询率有关,影响了患者的结果.
科学领域:
- 危急护理医学
- 缓和护理
- 医疗服务研究
背景情况:
- 息治疗是针对严重疾病的治疗.
- 外体膜氧化 (ECMO) 治疗严重的心脏/呼吸系统衰竭,死亡率约为50%.
- 对于ECMO患者的息治疗的作用还没有得到充分研究.
研究的目的:
- 在毒性ECMO (VV-ECMO) 患者中描述息护理咨询 (PCC) 的使用.
- 在这个群体中确定与PCC相关的因素.
主要方法:
- 在四个明尼苏达州ECMO中心进行回顾性队列研究.
- 收集患者人口统计,ECMO特征和PCC的数据.
- 具有和没有集成PCC协议的中心之间的PCC率和结果的比较.
主要成果:
- 在420名VV-ECMO患者中,54. 8%接受了PCC.
- 接受PCC的患者在出院前的存活率较低 (52. 6%与72. 6%,p< 0. 001).
- 与没有自动PCC的中心相比,EHR订单集中的PCC率显著更高 (81.6%和49.4%).
结论:
- 大多数VV-ECMO患者接受了PCC.
- 整合PCC显著提高了咨询率.
- 需要进一步的研究来了解PCC对VV-ECMO患者的结果的影响.
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