重症快速反应系统在普通病房中的应用研究
Journal of Modern Medicine & Health（2022）
Abstract
目的 观察重症快速反应系统(RRS)在普通病房中的应用效果,分析其存在的主要问题.方法 收集2016年5月至2019年12月该院普通病房启动重症RRS患者的临床资料,统计分析启动原因、现场处置情况、患者去向及转入重症监护病房(ICU)患者器官功能支持情况;对比引入重症RRS前后非计划转入ICU率、普通病房住院患者心脏停搏发生率等.结果 44个月共启动312人次,涉及患者278例.各种原因启动重症RRS 527人次,启动原因排前3位者分别为意识障碍[29.79％(157/527)]、呼吸窘迫[19.17％(101/527)]、低血压[18.60％(98/527)];有效呼叫率[91.99％(287/312)]及转入ICU率[68.27％(213/312)]均较低;启动重症RRS后非计划转入ICU率明显升高,普通病房住院患者心脏停搏发生率明显下降,差异均有统计学意义(P<0.05).结论 重症RRS能保障普通病房住院患者的安全,但启动标准值及评估工具值得进一步探讨;同时,需关注拒绝抢救患者,避免存在医疗资源的浪费.
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