Key Performance Indicators in Intensive Care Medicine. A Retrospective Matched Cohort Study  

Oleh:

Kastrup, M. ; Dossow, V von ; Seeling, M ; Ahlborn, R.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of International Medical Research vol. 37 no. 05 (Sep. 2009), page 1267-1284.
Fulltext: 1267.pdf (198.54KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: J11.K.2009.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Expert panel consensus was used to develop evidence-based process indicators that were independent risk factors for the main clinical outcome parameters of length of stay in the intensive care unit (ICU) and mortality. In a retrospective, matched data analysis of patients from five ICUs at a tertiary university hospital, agreed process indicators (sedation monitoring, pain monitoring, mean arterial pressure [MAP] of 60 mmHg or higher, tidal volume [TV] of 6 ml/kg or less, body weight, peak inspiratory pressure [PIP] of 35 cmH2O or less and blood glucose [BG] between 80 and 130 mg/dl) were validated using a prospective dataset of 4445 consecutive patients. After matching for age, sex and ICU, 634 patients were analysed. Logistic regression of the 634 patients showed that monitoring analgesia and sedation, MAP of 60 mmHg or higher and BG of 80 mg/dl or higher were relevant for survival. Linear regression of the 634 patients showed that analgesia monitoring, PIP of 35 cmH2O or less and TV of 6 ml/kg or less were associated with reduced length of ICU stay. Linear regression on all 4445 patients showed analgesia, sedation monitoring, MAP of 60 mmHg or higher, BG between 80 and 130 mg/dl, PIP of 35 cmH2O or less and TV of 6 ml/kg or less were associated with reduced length of ICU stay, indicating that adherence to evidence-based key process indicators may reduce mortality and length of ICU stay.

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