[重症监护病房中临床质量指标“早期肠内营养”的评估]
[Assessment of the clinical quality indicator "early enteral nutrition" in intensive care units].
作者信息
De la Calle de la Rosa Licia, Bermejo de Las Heras Sara, Blesa Antonio, Giner Manuel, Arias Díaz Javier
机构信息
Universidad Complutense de Madrid.
出版信息
Nutr Hosp. 2017 Nov 17;34(5):1288-1291. doi: 10.20960/nh.1171.
BACKGROUND
Early enteral nutrition (EN) offers multiple benefits on critically ill patients and its monitoring was established as a clinical quality indicator (CQI) for intensive care units (ICU) by the Spanish Society of Critical Care (SEMICYUC). However, no results have been published on the systematized monitoring of this CQI.
OBJECTIVE
To assess the compliance of the CQI "Early EN" at ICU.
METHODS
A retrospective longitudinal study was conducted on 386 consecutive ICU patients receiving EN. Data were collected including time from admission until EN was started, as well as clinical results. SPSS statistics software was used for analysis and the CQI was assessed according to SEMYCIUC criteria.
RESULTS AND CONCLUSION
CQI's compliance was 70.2%, not reaching the settled standard of 100%. Barriers preventing CQI compliance ought to be analyzed and its standard of 100% reconsidered.
背景
早期肠内营养（EN）对重症患者有诸多益处，西班牙重症监护学会（SEMICYUC）将其监测确立为重症监护病房（ICU）的临床质量指标（CQI）。然而，关于该CQI的系统化监测尚无结果发表。
目的
评估ICU中“早期EN”CQI的依从性。
方法
对386例连续接受EN的ICU患者进行回顾性纵向研究。收集的数据包括从入院到开始EN的时间以及临床结果。使用SPSS统计软件进行分析，并根据SEMYCIUC标准评估CQI。
结果与结论
CQI的依从性为70.2%，未达到设定的100%标准。应分析阻碍CQI依从性的因素，并重新考虑其100%的标准。
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