التفاصيل البيبلوغرافية
| العنوان: |
Data_Sheet_1_Implementation of the ABCDEF Bundle for Critically Ill ICU Patients During the COVID-19 Pandemic: A Multi-National 1-Day Point Prevalence Study.docx |
| المؤلفون: |
Keibun Liu (4018400), Kensuke Nakamura (2989272), Hajime Katsukawa (11616436), Peter Nydahl (9525069), Eugene Wesley Ely (11616439), Sapna R. Kudchadkar (9018986), Kunihiko Takahashi (92020), Muhammed Elhadi (9689965), Mohan Gurjar (11245703), Be Kim Leong (11616442), Chi Ryang Chung (7460762), Jayachandran Balachandran (11616445), Shigeaki Inoue (741628), Alan Kawarai Lefor (6593720), Osamu Nishida (4818957) |
| سنة النشر: |
2021 |
| المجموعة: |
Smithsonian Institution: Digital Repository |
| مصطلحات موضوعية: |
Dermatology, Emergency Medicine, Gastroenterology and Hepatology, Geriatrics and Gerontology, Intensive Care, Medical Genetics (excl. Cancer Genetics), Nephrology and Urology, Nuclear Medicine, Orthopaedics, Otorhinolaryngology, Pathology (excl. Oral Pathology), Radiology and Organ Imaging, Foetal Development and Medicine, Obstetrics and Gynaecology, Family Care, Primary Health Care, Medical and Health Sciences not elsewhere classified, ABCDEF bundle, COVID-19, ICU diary, ICU liberation bundle, pandemic (COVID-19) |
| الوصف: |
Background: Data regarding delivery of evidence-based care to critically ill patients in Intensive Care Units (ICU) during the COVID-19 pandemic is crucial but lacking. This study aimed to evaluate the implementation rate of the ABCDEF bundle, which is a collection of six evidence-based ICU care initiatives which are strongly recommended to be incorporated into clinical practice, and ICU diaries for patients with and without COVID-19 infections in ICUs, and to analyze the impact of COVID-19 on implementation of each element of the bundle and independent associated factors. Methods: A world-wide 1-day point prevalence study investigated the delivery of the ABCDEF bundle and ICU diary to patients without or with COVID-19 infections on 27 January 2021 via an online questionnaire. Multivariable logistic regression analysis with adjustment for patient demographics evaluated the impact of COVID-19 and identified factors in ICU administrative structures and policies independently associated with delivery. Results: From 54 countries and 135 ICUs, 1,229 patients were eligible, and 607 (49%) had COVID-19 infections. Implementation rates were: entire bundle (without COVID-19: 0% and with COVID-19: 1%), Element A (regular pain assessment: 64 and 55%), Element B (both spontaneous awakening and breathing trials: 17 and 10%), Element C (regular sedation assessment: 45 and 61%), Element D (regular delirium assessment: 39 and 35%), Element E (exercise: 22 and 25%), Element F (family engagement/empowerment: 16 and 30%), and ICU diary (17 and 21%). The presence of COVID-19 was not associated with failure to implement individual elements. Independently associated factors for each element in common between the two groups included presence of a specific written protocol, application of a target/goal, and tele-ICU management. A lower income status country and a 3:1 nurse-patient ratio were significantly associated with non-implementation of elements A, C, and D, while a lower income status country was also associated with ... |
| نوع الوثيقة: |
dataset |
| اللغة: |
unknown |
| Relation: |
https://figshare.com/articles/dataset/Data_Sheet_1_Implementation_of_the_ABCDEF_Bundle_for_Critically_Ill_ICU_Patients_During_the_COVID-19_Pandemic_A_Multi-National_1-Day_Point_Prevalence_Study_docx/16893913 |
| DOI: |
10.3389/fmed.2021.735860.s001 |
| الاتاحة: |
https://doi.org/10.3389/fmed.2021.735860.s001 |
| Rights: |
CC BY 4.0 |
| رقم الانضمام: |
edsbas.B3F5A3FA |
| قاعدة البيانات: |
BASE |