Australian Critical Care最新文献_第4页

Letter to the editor: Intensive care unit delirium prediction—Broader considerations 致编辑的信：重症监护病房谵妄预测——更广泛的考虑

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2025-12-25 DOI: 10.1016/j.aucc.2025.101505

Min Zhang MD, BM, Xingyi Yang MD, MM

引用次数: 0

Debriefing for intensive care unit nurses wellbeing: A hybrid type 2 implementation–effectiveness study 重症监护室护士健康状况汇报：一项混合型实施-有效性研究。

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2025-12-24 DOI: 10.1016/j.aucc.2025.101498

Annabel Levido RN, BSN, MAppMgmt (Nurs) , Anna Doubrovsky BSc(Hons), MPH , Liz Crowe BSocWk, PhD , Samantha Keogh BSc(Hons), PhD, RN , Fiona Coyer RN, PhD, PGCEA, DipNurs, MScNursing

Background

Intensive care nurses play a critical role in delivering complex, patient-centred, life-saving care, yet they face persistent workforce challenges. Debriefing is increasingly recognised as a potential strategy to support nurse wellbeing and workforce sustainability, though evidence of its impact remains limited and warrants further investigation.

Objectives

The objective of the study was to evaluate the implementation and effectiveness outcomes of a proactive debriefing intervention that promotes wellbeing for nurses employed in the intensive care unit of a large quaternary metropolitan hospital in Australia.

Methods

An exploratory feasibility study using a hybrid type 2 implementation–effectiveness approach using a pre–post design was conducted. Feasibility outcomes (recruitment, attendance, acceptability, appropriateness, and feasibility) and exploratory wellbeing outcomes (Workplace Positive Emotion Relationships Meaning and Accomplishment Scale, the Minnesota Satisfaction Questionnaire, and the Brief Coping Orientation to Problems Experienced Inventory), as well as aggregate organisational and patient-related data, were collected monthly and analysed. Quantitative data were analysed using descriptive and inferential statistics, and qualitative data were analysed using content analysis.

Results

Intensive care nurses who participated in proactive debriefing showed a small to moderate improvement in wellbeing scores (mean difference = 0.30 standard deviation: 0.72; 95% confidence interval: −0.03 to 0.63; n = 21; Cohen’s d = 0.42). Implementation outcomes indicated high acceptability and appropriateness but slightly lower feasibility, with attendance barriers identified as shift arrangements, patient acuity, staffing constraints, and lack of support at an organisational level. Most nurses requested the continuation of debriefing, citing benefits to wellbeing, professional growth, and improvement of team culture.

Conclusion

This study demonstrated that intensive care unit nurses’ benefit from regular debriefing. Future research must further consider barriers, underscoring the importance of organisational support.

背景：重症监护护士在提供复杂的、以患者为中心的挽救生命的护理方面发挥着关键作用，但他们面临着持续的劳动力挑战。汇报越来越被认为是支持护士福利和劳动力可持续性的潜在战略，尽管其影响的证据仍然有限，需要进一步调查。目的：本研究的目的是评估主动述职干预的实施和有效性结果，以促进澳大利亚一家大型第四大都市医院重症监护病房护士的福祉。方法：采用pre-post设计的混合型实施-有效性方法进行探索性可行性研究。可行性结果（招聘、出勤、可接受性、适当性和可行性）和探索性健康结果（工作场所积极情绪关系意义和成就量表、明尼苏达满意度问卷和问题经验简短应对取向量表），以及组织和患者相关的汇总数据，每月收集和分析。定量资料采用描述统计和推理统计进行分析，定性资料采用内容分析进行分析。结果：参加主动汇报的重症监护护士的幸福感得分有小到中度的改善（平均差异= 0.30，标准差：0.72；95%置信区间：-0.03 ~ 0.63;n = 21; Cohen’s d = 0.42）。实施结果表明可接受性和适当性较高，但可行性略低，出勤障碍确定为轮班安排、患者敏锐度、人员限制和缺乏组织层面的支持。大多数护士要求继续进行汇报，理由是对健康、专业成长和团队文化的改善有好处。结论：本研究证明重症监护室护士受益于定期述职。未来的研究必须进一步考虑障碍，强调组织支持的重要性。

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引用次数: 0

Response to letter to the editor regarding: Can handgrip strength reflect muscle dysfunction in individuals in intensive care units? A prospective observational study 对致编辑的关于：握力能否反映重症监护病房个体的肌肉功能障碍的信函的回应？一项前瞻性观察研究。

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2025-12-22 DOI: 10.1016/j.aucc.2025.101502

Ruo-Yan Wu PT, MS, Huan-Jui Yeh MD, PhD, Mei-Wun Tsai PT, PhD, Chiao-Nan Chen PT, PhD

引用次数: 0

Fostering safer intensive care units: How incident reporting drives cultural change 培养更安全的重症监护病房：事故报告如何推动文化变革

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2025-12-18 DOI: 10.1016/j.aucc.2025.101485

Mohamed Ayoub Tlili ORN, PhD , Wiem Aouicha ORN, PhD , Nikoloz Gambashidze MD, PhD , Buchra Alshammari RN, PhD , Maha Dardouri ORN, PhD , Wejdene Mansour B.Sc., PhD , Hamdan Albaqawi RN, PhD , Salman Hamdan Alsaqri RN, PhD , Sameer Alkubati RN, PhD , Matthias Weigl Pysch., PhD , Houyem Said Latiri MD, MSc , Manel Mallouli MD, MSc

Background

Patients admitted to intensive care units (ICUs) are more prone to patient safety incidents (PSIs), with substantial negative effects. Patient safety culture (PSC) is seen as a crucial pillar to address these safety problems. The aim of our study was to evaluate the impact of the implementation of a PSIs reporting system on PSC in ICUs.

Methods

We conducted a quasi-experimental study in 15 ICUs in two Tunisian university hospitals. One hospital was chosen as the intervention site (10 ICUs), where a PSI reporting system was implemented, while the other served as the control (five ICUs). All 344 ICU professionals were invited for study participation (i.e., physicians, ICU specialised nurses, registered nurses, and nursing assistants). The primary outcome was the change in PSC dimensions, all assessed with the validated French version of the Hospital Survey on Patient Safety Culture. Two-way multivariate analysis of variance was used to determine trend changes in mean PSC dimension scores.

Results

During baseline assessment (M1), 284 professionals responded (167 in the intervention group and 117 in the control group). After the intervention, five PSC dimensions improved significantly in the intervention group: “Frequency of adverse events reported” (from 20.8% to 37.6%, p < 0.001), “Continuous improvement and organisational learning” (35.9%–48.3%, p < 0.001), “Teamwork within units” (47.3%–59.8%, p < 0.001), “Communication openness” (21.4%–36.4%, p < 0.001), and “Non-punitive response to error” (20.8%–38.5%, p < 0.001).

Conclusions

The findings provide important insights into how structured reporting systems can enhance PSC in resource-limited healthcare settings. Although the study was conducted in a single intervention site using a quasi-experimental design, the results remain valuable in highlighting viable strategies for safety improvement and may guide future larger-scale and multisite evaluations. Targeted reporting interventions can significantly improve PSC in ICUs, even within resource-constrained settings. Lasting impact requires structured monitoring to sustain and optimise these improvements.

背景重症监护病房（icu）的患者更容易发生患者安全事件（PSIs），并产生实质性的负面影响。患者安全文化（PSC）被视为解决这些安全问题的关键支柱。我们研究的目的是评估在icu中实施pssi报告系统对PSC的影响。方法对突尼斯两所大学附属医院的15个icu进行准实验研究。选择1家医院作为干预点（10个icu），实施PSI报告制度，另1家医院作为对照（5个icu）。所有344名ICU专业人员被邀请参与研究（即医生、ICU专科护士、注册护士和护理助理）。主要结果是PSC维度的变化，所有这些都是用经过验证的法国版医院患者安全文化调查来评估的。采用双向多变量方差分析确定PSC平均维度得分的趋势变化。结果在基线评估（M1）期间，有284名专业人员回应（干预组167人，对照组117人）。干预后，干预组的五个PSC维度显著改善：“不良事件报告频率”（从20.8%提高到37.6%,p < 0.001）、“持续改进和组织学习”（35.9%-48.3%,p < 0.001）、“单位内团队合作”（47.3%-59.8%,p < 0.001）、“沟通开放性”（21.4%-36.4%,p < 0.001）和“错误非惩罚性反应”（20.8% - 38.5%,p < 0.001）。结论：研究结果为结构化报告系统如何在资源有限的医疗机构中提高PSC提供了重要的见解。虽然这项研究是在一个单一的干预地点进行的，使用了准实验设计，但结果仍然有价值，可以突出安全改进的可行策略，并可能指导未来更大规模和多地点的评估。即使在资源有限的情况下，有针对性的报告干预措施也可以显著改善icu的PSC。持久的影响需要有组织的监测，以维持和优化这些改进。

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引用次数: 0

Retrospective review of a weaning and rehabilitation cohort within a tertiary critical care unit 一个三级重症监护病房的断奶和康复队列回顾性分析

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2025-12-18 DOI: 10.1016/j.aucc.2025.101496

Paul Twose BSc (Hons) Physiotherapy, PhD , Jack Parry-Jones MBBS, BSc FRCP EDIC FFICM , Benjamin J. Jones MBBCh FRCP FFICM , Joseph R. Riddell MBBCh FRCA FFICM

Introduction

Patients admitted to critical care are increasingly older with complex comorbidities. These patients frequently have prolonged lengths of stay in intensive care and high rehabilitation requirements. Specialist weaning units have been developed to provide for a proportion of this patient cohort. However, often patients with ongoing multiorgan failure or persistent critical illness do not meet criteria for inclusion. We report on the development of a weaning and rehabilitation cohort within an existing critical care footprint, with the focus on improving outcomes for a broader group of patients with prolonged lengths of stay, stable multiorgan failure, and persistent critical illness.

Methods

Retrospective data were collected for all patients transferred to the weaning and rehabilitation cohort within a single tertiary critical care unit within the United Kingdom. Routine data were used from existing sources.

Results

During the 12-month evaluation period, there were 2018 admissions to the critical care unit. Of these, 92 (4.6 %) patients were transferred to the weaning and rehabilitation cohort, of which 74 met local inclusion with the remaining transferred for capacity purposes. The 74 patients had an average length of stay of 61.2 days, accounting for 32.6% of the total critical care bed days within the single intensive care unit. Survival at the point of intensive care unit and hospital discharge was 86.5% and 79.5%, respectively.

Conclusion

As critical care survival improves, there are an increasing number of patients with challenging ventilatory weaning and rehabilitation needs. The creation of a ventilatory weaning and rehabilitation area within a tertiary critical care unit has the potential to increase survival rates and liberation from both mechanical ventilation and long-term tracheostomisation in patients with significant needs.

入住重症监护的患者年龄越来越大，并伴有复杂的合并症。这些患者通常需要长时间的重症监护和高康复要求。专科断奶单位已经开发，以提供这一患者队列的比例。然而，经常有持续多器官功能衰竭或持续性危重疾病的患者不符合纳入标准。我们报道了在现有重症监护范围内发展的断奶和康复队列，重点是改善更广泛的住院时间延长、稳定的多器官衰竭和持续性危重疾病患者的结局。方法回顾性收集英国一家三级重症监护病房转至脱机和康复队列的所有患者的数据。常规数据来自现有来源。结果在12个月的评估期内，重症监护病房共收治患者2018例。其中，92例（4.6%）患者被转移到断奶和康复队列，其中74例符合当地纳入标准，其余患者因容量目的而转移。74例患者平均住院时间为61.2天，占单个重症监护病房重症监护总床位天数的32.6%。重症监护病房和出院时的生存率分别为86.5%和79.5%。结论随着重症监护生存率的提高，越来越多的患者面临着通气脱机和康复的挑战。在三级重症监护病房内建立一个通气脱机和康复区，有可能提高生存率，并使有重大需求的患者从机械通气和长期气管造口术中解脱出来。

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引用次数: 0

Prepared but stressed: Reconciling the paradox of caring for healthcare professional-patients 有准备但有压力：调和照顾医疗保健专业患者的矛盾

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2025-12-18 DOI: 10.1016/j.aucc.2025.101501

Meiguan Ke, Yalan Zhang, Deyi Pan

引用次数: 0

Evaluating the effectiveness of a patient flow centre on intensive care unit patient discharges and patient outcomes: A retrospective quantitative cohort study 评估病人流动中心对重症监护病房病人出院和病人预后的有效性：一项回顾性定量队列研究

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2025-12-18 DOI: 10.1016/j.aucc.2025.101497

Xia Jin RN, MHltAdm , Shailesh Bihari MBBS, FCICM, PhD , Steven Galluccio MBBS, FCICM , Ubbo F. Wiersema MBBS, FCICM , Kathrine De Lyster RN, MHltAdm , Anne M. Adams RN, PhD , Frances Lin RN, PhD, FACCCN

Background

There is growing interest in centralised patient flow centres (PFCs) designed to optimise hospital patient flow and improve resource efficiency. However, the specific impact of such centres on intensive care unit (ICU) patient flow and patient outcomes is unknown.

Objective

The objective of this study was to evaluate the effects of ICU discharge efficiency and patient outcomes before and after implementation of a PFC.

Methods

A retrospective cohort study was conducted at a tertiary ICU in Australia, including patients admitted to the ICU between January 1st, 2018, and December 31st, 2023. Data were extracted from the Australian and New Zealand Intensive Care Society Adult Patient Database. Primary outcomes were ICU discharge delay, after-hours discharge, and readmission to the ICU within 48 h of discharge. Secondary outcomes included ICU and hospital length of stay (LOS) and hospital mortality.

Results

A total of 8 383 patients were included. Post implementation, a higher proportion of patients experienced ICU discharge delays (16.1%, n = 656, p = 0.05) and after-hours discharges (15.6%, n = 636, p < 0.001), without a significant change in the ICU readmission rate. After adjusting for confounders, patients in the post-PFC group had a higher risk for after-hours discharge than those in the pre-PFC group (odds ratio: 1.62, confidence interval: 1.41–1.87, p < 0.001). The implementation of the PFC was associated with lower hospital mortality (odds ratio: 0.72, confidence interval: 0.55–0.94, p < 0.05) and shorter hospital LOS (p = 0.05).

Conclusions

An increase in the proportion of ICU discharge delays and after-hours discharges was observed following the PFC implementation, without an increase in ICU readmissions. Centralised coordination and improved visibility of patient flow through the hospital system could have contributed to reduced hospital LOS and mortality. Future studies must explore factors influencing the effectiveness of the PFC on ICU patient flow and evaluate the observed benefits by incorporating ICU access block measures.

人们对旨在优化医院病人流动和提高资源效率的集中式病人流动中心（pfc）越来越感兴趣。然而，这些中心对重症监护病房（ICU）患者流量和患者预后的具体影响尚不清楚。目的评价pfs实施前后对ICU出院效率和患者预后的影响。方法回顾性队列研究在澳大利亚一家三级ICU进行，纳入2018年1月1日至2023年12月31日入住ICU的患者。数据来自澳大利亚和新西兰重症监护协会成人患者数据库。主要结局为ICU延迟出院、小时后出院和出院后48小时内再次入住ICU。次要结局包括ICU、住院时间（LOS）和住院死亡率。结果共纳入8 383例患者。实施后出现ICU延迟出院（16.1%,n = 656, p = 0.05）和小时后出院（15.6%,n = 636, p < 0.001）的患者比例较高，ICU再入院率无显著变化。调整混杂因素后，pfc后组患者的小时后出院风险高于pfc前组（优势比：1.62，置信区间：1.41-1.87,p < 0.001）。PFC的实施与较低的医院死亡率（优势比：0.72，置信区间：0.55-0.94,p < 0.05）和较短的医院LOS （p = 0.05）相关。结论实施PFC后，ICU延迟出院比例和小时后出院比例均有所增加，但再入院人数未增加。通过医院系统进行集中协调和改善病人流动的可见性，可能有助于降低医院的LOS和死亡率。未来的研究必须探索影响PFC对ICU患者流量有效性的因素，并通过纳入ICU通道阻断措施来评估观察到的益处。

{"title":"Evaluating the effectiveness of a patient flow centre on intensive care unit patient discharges and patient outcomes: A retrospective quantitative cohort study","authors":"Xia Jin RN, MHltAdm , Shailesh Bihari MBBS, FCICM, PhD , Steven Galluccio MBBS, FCICM , Ubbo F. Wiersema MBBS, FCICM , Kathrine De Lyster RN, MHltAdm , Anne M. Adams RN, PhD , Frances Lin RN, PhD, FACCCN","doi":"10.1016/j.aucc.2025.101497","DOIUrl":"10.1016/j.aucc.2025.101497","url":null,"abstract":"<div><h3>Background</h3><div>There is growing interest in centralised patient flow centres (PFCs) designed to optimise hospital patient flow and improve resource efficiency. However, the specific impact of such centres on intensive care unit (ICU) patient flow and patient outcomes is unknown.</div></div><div><h3>Objective</h3><div>The objective of this study was to evaluate the effects of ICU discharge efficiency and patient outcomes before and after implementation of a PFC.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted at a tertiary ICU in Australia, including patients admitted to the ICU between January 1st, 2018, and December 31st, 2023. Data were extracted from the Australian and New Zealand Intensive Care Society Adult Patient Database. Primary outcomes were ICU discharge delay, after-hours discharge, and readmission to the ICU within 48 h of discharge. Secondary outcomes included ICU and hospital length of stay (LOS) and hospital mortality.</div></div><div><h3>Results</h3><div>A total of 8 383 patients were included. Post implementation, a higher proportion of patients experienced ICU discharge delays (16.1%, n = 656, p = 0.05) and after-hours discharges (15.6%, n = 636, p < 0.001), without a significant change in the ICU readmission rate. After adjusting for confounders, patients in the post-PFC group had a higher risk for after-hours discharge than those in the pre-PFC group (odds ratio: 1.62, confidence interval: 1.41–1.87, p < 0.001). The implementation of the PFC was associated with lower hospital mortality (odds ratio: 0.72, confidence interval: 0.55–0.94, p < 0.05) and shorter hospital LOS (p = 0.05).</div></div><div><h3>Conclusions</h3><div>An increase in the proportion of ICU discharge delays and after-hours discharges was observed following the PFC implementation, without an increase in ICU readmissions. Centralised coordination and improved visibility of patient flow through the hospital system could have contributed to reduced hospital LOS and mortality. Future studies must explore factors influencing the effectiveness of the PFC on ICU patient flow and evaluate the observed benefits by incorporating ICU access block measures.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"39 1","pages":"Article 101497"},"PeriodicalIF":2.7,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Consciousness, sedation, or intervention? Re-evaluating the drivers of handgrip strength changes in the intensive care unit 清醒，镇静，还是干预？重新评估重症监护病房中握力变化的驱动因素

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2025-12-18 DOI: 10.1016/j.aucc.2025.101494

Tiantian Zhou BSN

引用次数: 0

Mobilisation OverViEw in a Quaternary intensive care unit: A cross-sectional descriptive survey 第四纪重症监护病房的动员概况：横断面描述性调查

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2025-12-18 DOI: 10.1016/j.aucc.2025.101499

Andrew J. Neilson RN, MCN , Samantha Keogh RN, PhD, FACN , Jessica Ingleman RN, PhD

Background

Despite abundant high-quality international literature demonstrating potential benefits of early mobilisation (EM) for patients in intensive care units (ICUs), point prevalence studies have shown low EM rates in Australian ICUs. Recent clinical guidelines exist, but awareness rates of these and current attitudes to EM in Australia are unknown.

Objectives

The objective of this study was to determine awareness of recent guidelines and operationalise barriers and enablers to EM in an Australian ICU using the Theoretical Domains Framework.

Methods

A cross-sectional descriptive survey was designed and distributed to all nursing, medical, and physiotherapy clinicians in an Australian quaternary ICU specialising in burns, trauma, and neurosurgery. Data were collected in the Research Electronic Data Capture platform and analysed using IBM SPSS Statitics for Windows (IBM Corp: Armonk, NY). Quantitative data were summarised with descriptive statistics. Qualitative data underwent thematic and content analysis.

Results

The response rate was 46%; a representative sample was achieved. Guideline awareness was low (23%). Dichotomised variable analysis revealed knowledge and evidence (45%, M = 2.68, standard deviation [SD] = 1.69) and staffing (45%, M = 3.14, SD = 1.65) as perceived barriers to EM. Decision-making (52%, M = 2.93, SD = 1.67) and time (39%, M = 3.28, SD = 1.58) were moderate barriers; however, nondichotomised groups were comparable. Perceived enablers were intention (65%, M = 3.42, SD = 1.59), social influences (78%, M = 3.45, SD = 1.60), resources (83%, M = 3.81, SD = 1.36), skills (83 %, M = 4.06, SD = 1.45), and beliefs (94%, M = 4.43, SD = 1.09). Qualitative responses largely reinforced these findings, particularly barriers of limited staffing and equipment.

Conclusions

This study highlights low awareness of EM guidelines and the presence of persistent system-level barriers to EM despite clinicians’ positive attitudes and intentions. Findings suggest that stronger guideline dissemination, education, and practical supports are needed to embed EM into routine ICU practice. Future research should focus on implementation strategies and evaluation of safe, context-specific approaches to support consistent delivery of EM.

尽管大量高质量的国际文献证明了重症监护病房（icu）患者早期动员（EM）的潜在益处，但点患病率研究显示澳大利亚icu的EM率较低。最近的临床指南是存在的，但在澳大利亚，这些指南的认知率和目前对EM的态度是未知的。本研究的目的是利用理论领域框架确定澳大利亚ICU对最新指导方针的认识，并实施EM的障碍和推动因素。方法设计一项横断面描述性调查，并向澳大利亚一家专门从事烧伤、创伤和神经外科的第四重症监护室的所有护理、医疗和物理治疗临床医生分发。数据在Research Electronic Data Capture平台中收集，并使用IBM SPSS statistics for Windows （IBM Corp .: Armonk， NY）进行分析。定量数据用描述性统计进行汇总。定性数据进行专题和内容分析。结果总有效率为46%；获得了具有代表性的样品。指南认知度低（23%）。二分类变量分析显示，知识和证据（45%,M = 2.68，标准差[SD] = 1.69）和人员配置（45%,M = 3.14, SD = 1.65）是认知障碍，决策（52%,M = 2.93, SD = 1.67）和时间（39%,M = 3.28, SD = 1.58）是中度障碍；然而，非二分类组具有可比性。感知的促成因素为意图（65%,M = 3.42, SD = 1.59）、社会影响（78%,M = 3.45, SD = 1.60）、资源（83%,M = 3.81, SD = 1.36）、技能（83%,M = 4.06, SD = 1.45）和信念（94%,M = 4.43, SD = 1.09）。定性反应在很大程度上加强了这些发现，特别是人员和设备有限的障碍。结论：本研究突出表明，尽管临床医生有积极的态度和意图，但对EM指南的认识较低，并且存在持续的系统级障碍。研究结果表明，需要加强指南的传播、教育和实践支持，将EM纳入常规ICU实践。未来的研究应侧重于安全的实施策略和评估，具体的环境方法，以支持一致的EM交付。

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引用次数: 0

Lung ultrasound score and prediction of patient outcomes in hypoxaemic intubated and mechanically ventilated critically ill: A cohort study 低氧插管和机械通气危重患者肺超声评分和预后预测：一项队列研究

IF 2.7 3区医学 Q2 CRITICAL CARE MEDICINE

Australian Critical Care

Pub Date : 2025-12-18 DOI: 10.1016/j.aucc.2025.101495

George Ntoumenopoulos PT, PhD , Louise Hansell PT, MSc , Aymeric Le Neindre PT, PhD , Belaid Bouhemad MD, PhD

Background

The extent of pulmonary aeration present on admission to the intensive care unit (ICU) as determined by the lung ultrasound score (LUSS) may be useful to predict weaning from mechanical ventilation. The aim of this study was to assess the ability of the LUSS within 48 h of admission to predict time on mechanical ventilation. Secondary outcomes were the LUSS beyond 48 h of admission and the ability to predict the duration of mechanical ventilation and ICU length of stay. In addition, the relationship between the LUSS, oxygenation indices, and ventilation requirements was also analysed to explore the construct validity.

Methods

This prospective, observational cohort study was conducted in one tertiary adult ICU in Australia. All hypoxaemic intubated and ventilated patients consecutively admitted were enrolled.

Results

A total of 43 patients were included in the analysis. There were no significant relationships between the LUSS within 48 h of ICU admission, between 48 and 72 h after admission or before or just after extubation and between mechanical ventilation duration and ICU length of stay.

Conclusion

This study of 43 intubated and mechanically ventilated patients failed to find any significant relationships between any of the LUSSs within 48 h of admission, between 48 and 72 h after ICU admission or before or after extubation, and between mechanical ventilation duration and ICU length of stay.

背景：肺部超声评分（LUSS）确定的重症监护病房（ICU）入院时肺部通气的程度可能有助于预测机械通气的脱机。本研究的目的是评估LUSS在入院48小时内预测机械通气时间的能力。次要结果为入院后48 h的LUSS、预测机械通气持续时间和ICU住院时间的能力。此外，还分析了LUSS、氧合指数和通风要求之间的关系，以探讨构建的有效性。方法本前瞻性、观察性队列研究在澳大利亚一家三级成人ICU进行。所有连续入院的低氧气管插管和通气患者均入组。结果共纳入43例患者。入院后48 h内、入院后48 ~ 72 h、拔管前后、机械通气时间与ICU住院时间无显著相关。结论本研究共纳入43例气管插管和机械通气患者，未发现入院48 h内、ICU入院后48 ~ 72 h、拔管前后、机械通气时间与ICU住院时间之间存在显著相关性。

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引用次数: 0