지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 252 - 259 (8page)
이용수
초록· 키워드
오류제보하기
Background: The aim of this study was to investigate the effects of using a systematic approachto tracheostomy care by a clinical nurse specialist and surgical intensivists for patientswith a tracheostomy who were transferred from the surgical intensive care unit (SICU) to thegeneral ward. Methods: In this retrospective study, subjects were limited to SICU patients with a tracheostomywho were transferred to the general ward. The study period was divided into a preinterventionperiod (January 1, 2007 to December 31, 2010) and a postintervention period (January1, 2011 to December 31, 2014), and electronic medical records were used to analyze andcompare patient characteristics, clinical outcomes, and readmission to the SICU. Results: The analysis included 44 patients in the preintervention group and 96 patients in thepostintervention group. Decannulation time (26.7±25.1 vs. 12.1±16.0 days, P=0.003),length of stay in the general ward (70.6±89.1 vs. 40.5±42.2 days, P=0.008), length of totalhospital stay (107.5±95.6 vs. 74.7±51.2 days, P=0.009), and readmission rate of SICU decreaseddue to T-cannula occlusion (58.8% vs. 5.9%, P=0.010). Conclusions: Using a systematic approach to tracheostomy care in the general ward led toreduction in decannulation time through professional management, which resulted in ashorter hospital stay. It also lowered SICU readmission by solving problems related to direct Tcannula.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Casserly P / 2007 / Assessment of healthcare professionals’ knowledge of managing emergency complications in patients with a tracheostomy / Br J Anaesth 99:380~383
Durbin CG Jr / 2010 / Tracheostomy: why, when, and how? / Respir Care 55:1056~1068
Cameron M / 2009 / Development of a tracheostomy scoring system to guide airway management after major head and neck surgery / Int J Oral Maxillofac Surg 38:846~849
Stelfox HT / 2008 / Determinants of tracheostomy decannulation: an international survey / Crit Care 12:R26
Engoren M / 2004 / Hospital and long-term outcome after tracheostomy for respiratory failure / Chest 125:220~227
Durbin CG Jr / 2010 / Tracheostomy: why, when, and how? / Respir Care 55:1056~1068
Cameron M / 2009 / Development of a tracheostomy scoring system to guide airway management after major head and neck surgery / Int J Oral Maxillofac Surg 38:846~849
Stelfox HT / 2008 / Determinants of tracheostomy decannulation: an international survey / Crit Care 12:R26
Engoren M / 2004 / Hospital and long-term outcome after tracheostomy for respiratory failure / Chest 125:220~227
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