Marie Jan, Nolwenn Mainguy, François Hamon, Sébastien Bigot, Agathe Delbove, Angélique Goepp
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引用次数: 0
摘要
背景:在icu中，许多患者插管。UE是护理质量的一个指标。与“空气”预防措施相关的隔离可能会增加机械通气(MV) COVID患者的ue数量。该研究的主要目的是比较COVID-19期间和对照期间的UE率。次要目的是确定UE的危险因素，并研究护理人员在COVID-19期间的经历。方法:选择回顾性单中心病例对照研究。年龄≥18岁的MV患者分为两期:对照组为2020年2月1日至2月29日，COVID-19组为2020年3月1日至3月31日。对瓦纳医院ICU护理人员进行了一项匿名调查。结果:UE率为17% (n=7) vs 20% (n=9)，对照期vs新冠肺炎期(p=0.58)，夜间占优势(75%)。四分之一(n=4)的患者在UE时符合MV脱机标准。调查回复率为71% (n=49)。在COVID-19期间，76% (n=37)的护理人员的UE风险估计更高，他们认为自己的工作量更大，监测困难，并且减少了对病房的定期访问。结论:与护理人员的经验相反，我们报告的2019冠状病毒病期间和对照期间的UE率相似。
COVID-EX. Influence de la pandémie de Covid-19 sur le taux d’extubation non programmée en réanimation : étude castemoins rétrospective.
Context: In ICUs, many patients are intubated. UE is an indicator of the quality of care.Isolation associated with "air" precautions may increase the number of UEs in mechanically ventilated (MV) COVID patients.The main aim of the study was to compare the rate of UE between a COVID-19 period and a control period. The secondary aims were to identify UE risk factors and to study the experience of caregivers during the COVID-19 period.
Method: The method of choice was a retrospective single center case-control study. MV patients aged ≥ 18 years were eligible in two periods: the control period from 01/02/2020 to 29/02/2020, and the COVID-19 period from 01/03/2020 to 31/03/2020. An anonymous survey was given to ICU caregivers in Vannes Hospital.
Results: The UE rate was 17% (n=7) vs. 20% (n=9) control period vs. COVID-19 period (p=0.58), with nocturnal preponderance (75%). A quarter (n=4) of patients fulfill MV weaning criteria at the time of UE. A 71% (n=49) survey response rate was obtained. The COVID-19 period had a higher estimated UE risk for 76% (n=37) of caregivers, who felt that they had a greater workload, difficulties with monitoring, and decreased regular visits to patients' rooms.
Conclusion: Contrary to the caregiver experience, we reported a similar UE rate over both the COVID-19 period and the control period.
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