Babb Marsha
Christiana Care Health System, Newark, DE, USA.
AORN J. 2009 Feb;89(2):273-4, 277-88. doi: 10.1016/j.aorn.2008.08.002.
Care requirements differ for individual patients in the heart failure continuum of care. Few tools exist that enable the bedside nurse to assess the cardiac surgical patient effectively. A quality improvement project was conducted at a level I trauma center in the mid-Atlantic United States to identify perioperative heart failure patients who do poorly after cardiac surgery. The surgical patient who is at high risk for adverse events after coronary artery bypass graft surgery can be identified by clustering 11 characteristics. Of 1,971 patients studied, 294 had adverse outcomes. Data indicated that any cluster of the characteristics was intensified when emergency status was added.
在心力衰竭连续护理过程中，个体患者的护理需求各不相同。能够让床边护士有效评估心脏外科手术患者的工具很少。美国中大西洋地区的一家一级创伤中心开展了一项质量改进项目，以识别心脏手术后恢复不佳的围手术期心力衰竭患者。冠状动脉搭桥手术后发生不良事件风险较高的外科手术患者可通过对11项特征进行聚类分析来识别。在研究的1971名患者中，有294人出现了不良结局。数据表明，当加入紧急状态这一因素时，任何一组特征都会更加突出。
