多学科方案可改善电解质的补充及其效果。
A multidisciplinary protocol improves electrolyte replacement and its effectiveness.
机构信息
Department of Surgery, The Methodist Hospital, Weill Cornell Medical College, 6550 Fannin Street, Smith Tower 1661, Houston, TX 77030, USA.
出版信息
Am J Surg. 2009 Dec;198(6):911-5. doi: 10.1016/j.amjsurg.2009.04.032.
BACKGROUND
We implemented a multidisciplinary electrolyte replacement protocol in a tertiary referral center surgical intensive care unit. The purpose of this study was to evaluate its efficacy.
METHODS
This was a retrospective study. The electrolyte replacement protocol was designed for the replacement of potassium, magnesium, and phosphorous and was nurse driven. Data evaluated included patient demographics and details specific to electrolyte replacement. Univariate analyses were performed by using the Student t test and the Fisher exact test. A P value of <.05 was considered significant.
RESULTS
After implementation of the protocol, overall electrolyte replacement improved from 70% to 79% (P = .03), and its overall effectiveness increased from 50% to 65% (P = .01). Individual electrolyte replacement, effectiveness, and dosing varied.
CONCLUSIONS
The implementation of a multidisciplinary electrolyte replacement protocol in a tertiary referral center surgical intensive care unit significantly improved both overall electrolyte replacement and its effectiveness.
背景
我们在一家三级转诊中心外科重症监护病房实施了多学科电解质替代方案。本研究的目的是评估其疗效。
方法
这是一项回顾性研究。电解质替代方案是为了替代钾、镁和磷而设计的，由护士驱动。评估的数据包括患者的人口统计学数据和电解质替代的具体细节。使用学生 t 检验和 Fisher 精确检验进行单变量分析。P 值<.05 被认为具有统计学意义。
结果
实施该方案后，整体电解质替代率从 70%提高到 79%（P =.03），整体有效率从 50%提高到 65%（P =.01）。个体电解质替代、效果和剂量有所不同。
结论
在一家三级转诊中心外科重症监护病房实施多学科电解质替代方案，显著提高了整体电解质替代和效果。
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