长期使用远程临床护理与改善ICU结果有关:退伍军人事务医院的证据
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在PubMed上查看摘要
概括
此摘要是机器生成的。长时间实施远程临床护理 (TCC) 显著减少了ICU死亡率和停留时间. 扩大TCC的部署对VA医院的患者结果有明显的好处.
科学领域
- 危急护理医学
- 医疗服务研究
- 远程医疗
背景情况
- 在重症监护室 (ICU) 采用远程临床护理 (TCC) 系统越来越多.
- 对TCC实施时间对临床结果的影响需要进一步研究.
研究的目的
- 评估远程临床护理 (TCC) 实施时间与关键临床结果之间的关联.
- 具体评估对ICU死亡率,ICU停留时间 (LOS) 和机械通风利用的影响.
主要方法
- 追溯的队列研究设计.
- 在2012年至2020年间利用了美国退伍军人事务部 (VA) 35家医院的数据.
- 包括193,367例患者住院,分析危急护理远程医疗 (TCC) 实施时间.
主要成果
- 扩大TCC使用与较低标准化ICU死亡率的趋势相关,在5年后观察到显著减少.
- 长时间的TCC部署与重症监护室停留时间 (LOS) 的显著减少有关.
- 侵袭性机械通风率随着时间的推移而下降,但与TCC部署时间没有显著联系.
结论
- 长期实施远程临床护理 (TCC) 会提高ICU死亡率,并减少ICU停留时间.
- 扩大TCC的部署为VA医疗保健系统中的患者提供了实质性的好处.
- 建议进行进一步的研究,以探索影响TCC采用的长期影响和因素.
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