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土耳其儿科重症监护病房评估报告。

Evaluation report of pediatric intensive care units in Turkey.

机构信息

Hacettepe University, Ankara, Turkey.

出版信息

Turk J Med Sci. 2014;44(6):1073-86. doi: 10.3906/sag-1307-102.

Abstract

BACKGROUND/AIM: To collect data from throughout Turkey in order to facilitate the organization of pediatric intensive care units (PICUs), and to develop short-term immediate action plans and draft long-term strategic plans.

MATERIALS AND METHODS

A total of 35 specialists including 17 pediatric critical care (PCC) specialists, 9 PCC fellows in training, and 9 pediatricians working in PICUs evaluated PICUs and their infrastructures, mortality rates, appropriateness of indications for PICU admissions, PICU bed numbers, and utilization of those PICU beds.

RESULTS

PICU bed numbers, PCC specialist numbers, and PICU nurse numbers are insufficient in Turkey. The high percentage of inappropriate and inefficient use of current PICU beds is also another problem.

CONCLUSION

In the light of this report, it is obvious that pediatric intensive care services are successful and efficient only in the presence of PCC specialists in PICUs. Studies for improving the infrastructure of PICUs and the training of PCC specialists and other health personnel should be started immediately.

摘要

背景/目的:从土耳其各地收集数据,以便于组织儿科重症监护病房(PICU),并制定短期的即时行动计划和长期战略计划草案。

材料和方法

共有 35 名专家,包括 17 名儿科危重病学(PCC)专家、9 名正在接受培训的 PCC 研究员和 9 名在 PICU 工作的儿科医生,对 PICU 及其基础设施、死亡率、PICU 入院指征的适宜性、PICU 床位数量以及这些 PICU 床位的使用情况进行了评估。

结果

土耳其的 PICU 床位、PCC 专家和 PICU 护士数量不足。目前 PICU 床位的使用不恰当和效率低下的比例也很高,这是另一个问题。

结论

根据这份报告,显然只有在 PICU 配备 PCC 专家的情况下,儿科重症监护服务才是成功和有效的。应立即开始研究改善 PICU 的基础设施以及培训 PCC 专家和其他卫生人员。

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