Department of Biostatistics, University Hospital of Liège, Liège (LS), Health Economics, Health Facility Administration and Nursing Science, Ecole de Santé publique, Université Libre de Bruxelles (PD, MP) and Anaesthesiology and Perioperative Medicine, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium (PF).
Eur J Anaesthesiol. 2019 Jan;36(1):64-69. doi: 10.1097/EJA.0000000000000891.
In anaesthesiology, little attention has been drawn to the role of anaesthesia nurses as support personnel on quality of care.
To compare an anaesthesiologist alone (solo anaesthesiologist) with an anaesthesia care team (anaesthesiologist and anaesthesia nurse).
An observational study.
A single centre study.
Anaesthesiologists and anaesthesia nurses.
Anaesthesia performed by solo anaesthesiologists compared with anaesthesia care teams.
30-day postoperative mortality and hospital length of stay. Propensity score matching was performed by logistic regression to adjust for baseline differences between the two groups and pairs of perfectly matched patients were formed.
Anaesthesia was performed by solo anaesthesiologists in 2832 patients and by an anaesthesia care team in 2842 patients. Matching with 2095 pairs of perfectly matched patients was formed. The two groups were comparable in respect of sex and duration of anaesthesia but differed notably for age, American Society of Anesthesiologists' physical status score and type of surgery. Logistic regression showed a significantly lower 30-day mortality rate for the anaesthesia care teams compared with solo anaesthesiologists (0.76 vs. 1.56%, P = 0.0014). Length of hospital stay was also significantly reduced when an anaesthesia nurse was present (4.9 ± 10.1 vs. 5.6 ± 11.5 days, P = 0.0011).
Anaesthesia given by teams of anaesthesiologists and anaesthesia nurses is associated with decreased 30-day postoperative mortality and shorter length of stay when compared with solo anaesthesiologists. Even without any demonstration of causality, this emphasises the benefits of the anaesthesia care team model.
CCB 325201730849.
在麻醉学领域，麻醉护士作为支持人员在医疗质量方面的作用尚未得到充分重视。
比较单独麻醉医师（单人麻醉组）与麻醉护理团队（麻醉医师和麻醉护士）。
观察性研究。
单中心研究。
麻醉医师和麻醉护士。
单人麻醉组与麻醉护理团队实施麻醉。
术后 30 天死亡率和住院时间。通过逻辑回归进行倾向评分匹配，以调整两组之间的基线差异，并形成完全匹配的患者对。
2832 例患者由单人麻醉组实施麻醉，2842 例患者由麻醉护理团队实施麻醉。形成了 2095 对完全匹配的患者。两组患者的性别和麻醉持续时间相似，但年龄、美国麻醉医师协会身体状况评分和手术类型差异显著。逻辑回归显示，与单人麻醉组相比，麻醉护理团队的 30 天死亡率显著降低（0.76%比 1.56%，P=0.0014）。当有麻醉护士在场时，住院时间也显著缩短（4.9±10.1 天比 5.6±11.5 天，P=0.0011）。
与单人麻醉组相比，麻醉医师和麻醉护士团队实施的麻醉可降低术后 30 天死亡率和缩短住院时间。即使没有任何因果关系的证明，这也强调了麻醉护理团队模式的优势。
CCB 325201730849。
