Construction and evaluation of daily checklist for pediatric extracorporeal membrane oxygenation
10.3760/cma.j.issn.1672-7088.2019.30.008
- VernacularTitle: 儿科体外膜肺氧合医护每日核查单的构建及效果评价
- Author:
Wenyi LUO
1
;
Yueyue ZHANG
;
Zhuoming XU
;
Xiaolei GONG
;
Wenting MAO
Author Information
1. Cardiovascular Intensive Care Unit, Shanghai Children′s Medical Center, Shanghai 200127, China
- Publication Type:Journal Article
- Keywords:
Pediatrics;
Extracorporeal membrane oxygenation;
Daily checklist
- From:
Chinese Journal of Practical Nursing
2019;35(30):2357-2362
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To improve the clinical outcomes and critical care quality for pediatric extracorporeal membrane oxygenation (ECMO), the multidisciplinary team including doctors, nurses and respiratory therapist designed a daily checklist for patients with ECMO and evaluated the effect of the checklist.
Methods:A daily checklist for ECMO patients was designed based on the expert consensus and multi-centers relevant researches. ECMO patients from January 2015 and May 2017 in the pre-application group, while the other patients from June 2017 to December 2018 in the post-application group were compared in the clinical outcomes.
Results:All 78 pediatric patients used the venoarterial extracorporeal membrane oxygenation (VA-ECMO) including 27 patients in the pre-application group and the other 51 patients in the post-application group. The mortality rate was 49.02%(25/51) in the post-application group and 81.48%(22/27) in the pre-application group, the differences were significant (χ2=7.768, P=0.005). The rates of central line-associated bloodstream infection, pressure injury and the body weight change was 2/5, 4/5, -2.70(-3.50--2.05) in the pre-application group and 3.85%(1/26), 26.92%(7/26), -0.09(-1.00-0.00) in the post-application group,the differences were significant (χ2=4.505, 5.161, Z=3.252, P<0.05 or 0.01).
Conclusions:It is helpful for clinical staff to follow up the progress of the multiple organs when using the daily checklist, to facilitate team communication for, and to improve nursing management through setting the daily targets for individual VA-ECMO patients.
