加拿大曼尼托巴省新生儿重症监护中即时肺部超声服务：五年经验
Point of care lung ultrasound service in neonatal intensive care: Five years of experience in Manitoba, Canada.
作者信息
Elsayed Yasser, Narvey Michael, Lashin Asem, Alammary Deima, Gigolyk Shere, Louis Deepak
机构信息
Division of Neonatology, Department of Pediatrics and Child Health, Rady Faculty of Medicine, University of Manitoba, Winnipeg, Canada.
Department of respiratory therapy, St Boniface hospital, Winnipeg, Canada.
出版信息
J Perinatol. 2022 Sep;42(9):1228-1232. doi: 10.1038/s41372-022-01455-w. Epub 2022 Jul 13.
OBJECTIVE
To evaluate the utility of a point of care lung ultrasound (POC-LUS) on patient management in the Neonatal Intensive Care Unit (NICU).
STUDY DESIGN
A retrospective cohort study of neonates who had POC-LUS from 2016 to 2020 in two-level III NICUs in Winnipeg, Manitoba, Canada. The primary outcome was the change in clinical management. The analysis aims mainly to describe the implementation process of the POC-LUS program.
RESULTS
A total of 956 neonates underwent 4076 POC-LUS studies during the study period. The number of POC-LUS studies increased significantly every year, from 316 (in 2016) to 1257 (in 2020) (p < 0.001). POC-LUS resulted in a change in clinical management following 2528 POC-LUS studies (62%), while it supported continuing the same management in 1548 studies (38%).
CONCLUSION
POC-LUS in Manitoba increased since its inception and led to an alteration in the clinical management in a significant proportion of patients who received the service.
目的
评估床旁肺部超声（POC-LUS）在新生儿重症监护病房（NICU）患者管理中的效用。
研究设计
对2016年至2020年在加拿大曼尼托巴省温尼伯市两家三级NICU接受POC-LUS检查的新生儿进行回顾性队列研究。主要结局是临床管理的变化。分析主要旨在描述POC-LUS项目的实施过程。
结果
在研究期间，共有956名新生儿接受了4076次POC-LUS检查。POC-LUS检查的次数每年显著增加，从2016年的316次增加到2020年的1257次（p<0.001）。2528次（62%）POC-LUS检查后临床管理发生了变化，而1548次（38%）检查支持继续相同的管理。
结论
曼尼托巴省的POC-LUS自开展以来有所增加，并导致相当一部分接受该检查的患者临床管理发生改变。
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