Clinical outcome of patients undergoing extracorporeal membrane oxygenation after multidisciplinary training
semanticscholar(2021)
摘要
HOW TO REFERENCE THIS ARTICLE: Pereira PPL, Murakami BM, Souza MFC de, Lopes CT, Santos ER dos, Bravim B de A, et al. Clinical outcome of patients undergoing extracorporeal membrane oxygenation after multidisciplinary training. Cogit. Enferm. [Internet]. 2021 [accessed “insert day, monh and year”]; 26. Available from: http://dx.doi.org/10.5380/ ce.v26i0.80475. ABSTRACT Objective: to verify the influence of multidisciplinary team training on the clinical outcome of adult patients undergoing extracorporeal membrane oxygenation. Method: observational study, conducted in an Adult Intensive Care Unit of a hospital in the southern zone of São Paulo, from 2012 to 2020. Survival analysis was performed by the Kaplan-Meier method and the probability of in-hospital mortality was analyzed by a multiple logistic regression model. Results: 72 patients were included, 54 (75%) after the training period. A reduction in mortality from 83.3% to 57.4% was observed after training (p=0.047), with an increase in 90-day survival of 31% after training. Conclusion: the impact of training on in-hospital death rate and 90-day survival is an incentive for hospital managers to adopt the training model with their teams to ensure better quality care.
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