Shi Yu, Liu Gongbao, Cao Di, Lu Guoping, Yuan Lin, Qian Yuping, Xu Jie, Sun Chengjun, Ge Mengmeng, Lai Lingyu, Wang Xuan, Lu Yiqun, Huang Guoying, Zhai Xiaowen
Division of Medical Administration, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China.
Intensive Care Unit, National Children's Medical Center Children's Hospital of Fudan University, Shanghai, China.
Transl Pediatr. 2021 Feb;10(2):236-243. doi: 10.21037/tp-20-171.
Code Blue is a popular hospital emergency code that is used to alert the emergency response team to any medical emergency requiring critical care. By retrospectively studying Code Blue cases in a children's hospital, we looked for high-risk factors associated with survival and how to improve the effectiveness of Code Blue systems through training.
Data were collected on age, gender, department, diagnosis, time of Code Blue call activation, time between call and arrival of the Code Blue team, treatment details and outcome before and after the training process from January 2016 to December 2019. Chi-square test and logistic regression analysis were used to analyze the data.
A total of 139 Code Blue cases from the period of January 2016 to December 2019 were retrospectively studied. The wards where Code Blues occurred most frequently were the infectious diseases ward (n=31, 22.3%), the hematology and oncology ward (n=30, 21.6%), and the cardiology ward (n=15, 10.8%). Age, inpatient status, time of arrival, the time of cardiopulmonary resuscitation (CPR), and the cause of shock were all risk factors for death. After the training, the arrival time and recovery time were significantly reduced (P<0.01). The proportion of patients who were transferred to the ICU had increased (P<0.05), and the proportion of deaths had decreased (P<0.01). The survival curve improved (P<0.05).
It is very important to summarize the risk factors related to Code Blue. It is clear that the efficacy of the Code Blue events improved after training of the hospital staff in the Children's Hospital.
“蓝色急救”是医院常用的紧急代码，用于提醒应急响应团队处理任何需要重症监护的医疗紧急情况。通过对一家儿童医院的“蓝色急救”病例进行回顾性研究，我们寻找与生存相关的高危因素，以及如何通过培训提高“蓝色急救”系统的有效性。
收集了2016年1月至2019年12月期间的年龄、性别、科室、诊断、“蓝色急救”呼叫激活时间、呼叫与“蓝色急救”团队到达之间的时间、治疗细节以及培训前后的结果等数据。采用卡方检验和逻辑回归分析对数据进行分析。
回顾性研究了2016年1月至2019年期间的139例“蓝色急救”病例。“蓝色急救”发生最频繁的病房是传染病病房（n = 31，22.3%）、血液肿瘤病房（n = 30，21.6%）和心脏病病房（n = 15，10.8%）。年龄、住院状态、到达时间、心肺复苏（CPR）时间和休克原因均为死亡的危险因素。培训后，到达时间和恢复时间显著缩短（P < 0.01）。转入重症监护病房（ICU）的患者比例增加（P < 0.05），死亡比例下降（P < 0.01）。生存曲线得到改善（P < 0.05）。
总结与“蓝色急救”相关的危险因素非常重要。很明显，儿童医院对医院工作人员进行培训后，“蓝色急救”事件的效果得到了改善。
