PICU菌株及其与患者结果的关联
Matthew S Baker1,2, Kristen R Miller1, Michele M Loi1,2
1Department of Pediatrics, Section of Critical Care Medicine, University of Colorado School of Medicine, Aurora, CO.
概括
儿科重症监护室 (PICU) 的高患者流动率与意外再入院的增加有关. 监测PICU压力,特别是轮流,可以帮助改善患者的治疗结果,并指导人员决策.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗保健运营研究 医疗保健运营研究
- 患者安全和质量改善.
背景情况:
- 儿科重症监护室 (PICU) 的压力,作为运营需求的衡量标准,还没有得到很好的定义.
- 了解导致PICU压力的因素对于优化患者护理和结果至关重要.
研究的目的:
- 使用患者普查和周转率等每日指标量化PICU应变.
- 调查PICU菌株和48小时内未计划的再入院之间的关联.
主要方法:
- 回顾性队列研究涉及32个PICU.
- 对2014年9月至2023年3月期间患者数据的分析.
- 一般化线性混合模型用于评估高人口普查和周转日对再接收率的影响.
主要成果:
- 增加的患者流动率 (第95个百分位) 与更高的早期,无计划PICU再入院的可能性显著相关 (OR,1.23;95% CI,1.14-1.33).
- 在转移日的高患者普查 (第95百分位) 并没有显示出与早期再入院的显著关联.
结论:
- PICU周转率是操作应变的关键指标,也是不利患者结果的预测指标.
- 监测和管理PICU流动对于为提高患者安全的临床操作和人员提供信息至关重要.
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