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全球重症监护关联研究(LOGIC):重症监护国际基准研究计划

Linking of global intensive care (LOGIC): An international benchmarking in critical care initiative.

机构信息

Amsterdam UMC, University of Amsterdam, Department of Intensive Care Medicine, Meibergdreef 9, Amsterdam, the Netherlands; National Intensive Care Evaluation (NICE) foundation, Amsterdam, the Netherlands; Department of Intensive Care, The Alfred Hospital, Commercial Road, Prahran VIC 3004, Australia.

Department of Intensive Care, The Alfred Hospital, Commercial Road, Prahran VIC 3004, Australia; The Australian and New Zealand Intensive Care Society (ANZICS) Centre for Outcome and Resource Evaluation, Camberwell VIC 3124, Australia; Crit Care Asia, Network for Improving Critical Care Systems and Training, Colombo, Sri Lanka.

出版信息

J Crit Care. 2020 Dec;60:305-310. doi: 10.1016/j.jcrc.2020.08.031. Epub 2020 Sep 14.

Abstract

Benchmarking is a common and effective method for measuring and analyzing ICU performance. With the existence of national registries, objective information can now be obtained to allow benchmarking of ICU care within and between countries. The present manuscript briefly describes the current status of benchmarking in healthcare and critical care and presents the LOGIC project, an initiative to promote international benchmarking for intensive care units. Currently 13 registries have joined LOGIC. We showed large differences in the utilization of ICU as well as resources and in outcomes. Despite the need for careful interpretation of differences due to variation in definitions and limited risk adjustment, LOGIC is a growing worldwide initiative that allows access to insightful epidemiologic data from ICUs in multiple databases and registries.

摘要

基准测试是衡量和分析 ICU 绩效的常用且有效的方法。随着国家登记处的存在,现在可以获得客观信息,以便在国家内部和国家之间对 ICU 护理进行基准测试。本文简要描述了医疗保健和重症监护基准测试的现状,并介绍了 LOGIC 项目,这是一项促进重症监护病房国际基准测试的倡议。目前有 13 个登记处加入了 LOGIC。我们发现 ICU 的利用以及资源和结果存在很大差异。尽管由于定义的差异和有限的风险调整,需要仔细解释这些差异,但 LOGIC 是一个全球性的倡议,它允许从多个数据库和登记处的 ICU 获得有见地的流行病学数据。

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