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1、PO-001开展死亡病例护理讨论促进ICU护理质量的探讨王宝春,陈碧群厦门大学附属中山医院重症医学科361004目的探讨开展死亡病例护理讨论对ICU护理质量管理的促进效果。方法通过组织护理人员对ICU56例死亡病例进行讨论、分析，找出患者临终前后的护理问题及原因、经验教训，提出相应的改进措施。结果ICU护士在急救技能、护理质量管理等方面均有显著提高。结论死亡病例护理讨论是提高ICU护理质量管理的一种有效形式。CMYPO-002CMAssociationofBaselineCorrectedQTInterv
2、alwithICUMortality：MYCYCMYAProspective,ObservationalStudyK11111feilongwang,wenzhipan,hairongwang,shuyunwang,shumingpan1.DepartmentofEmergency,XinhuaHospitalAffiliatedtoShanghaiJiaotongUniversitySchoolofMedcine,NO.1665,KongjiangRoad,Shanghai,200092,China2.
3、DepartmentofCardiology,ShanghaiInstituteofCardiovascularDiseases,ZhongshanHospitalofFudanUniversity,NO.180,FenglinRoad,Shanghai,200032,ChinaIntroductionTheprevalenceofheart-ratecorrectedQTinterval(QTc)prolongationanditssignificanceincriticalcarewerenotwel
4、lstudied.TherelationshipbetweenQTcandnonthyroidalillnesssyndrome(NTIS)hasneverbeeninvestigated.WeaimedtoassesstheprognosticvalueofQTcandtheassociationbetweenQTcandNTISinunselectedICUpatients.MethodsAtotalof505consecutivepatientswerescreenedforeligibleandf
5、ollowedupduringtheICUstay.Wecollectedeachpatient'sQTcandbaselinecharacteristicincludingtheAcutePhysiolgyandChronicHealthEvaluationⅡ(APACHE-Ⅱ)scoreandthyroidhormones.TherelationshipbetweenQTcandICUmortalitywasanalyzed.Wealsoassessedtheindependentfactorstha
6、tassociatedwithQTcinmultivariatelinearregression.ResultsThehazardratiocomparingpatientsinQ5(QTc>437.5ms)withthoseinthemiddlequintile(QTc403.3to420.9ms)was2.20forICUmortality(P=0.06).TheICUmortalitywassignificantlowerinQ1-4patients(QTc<437.5ms)thaninQ5pati
7、ents(HR=2.28,P=0.007).Afteradjustedforageandsex,QTc>437.5mswasalsoassociatedwithhigherICUmortality(HR=2.22,P=0.008).ThisassociationwasindependentofNTIS.However,ifadditionallyadjustedforheartrate,orAPACHE-2,orcTNT,orNT-proBNP,orCKDstage,QTc>437.5mswasnotap
8、redictorofICUmortality(P=0.083,0.46,0.075,0.191and0.091).SubgroupanalysisshownthatQTc>437.5mswasalsoassociatedwithhigherICUmortality(HR=2.28,P=0.012)innon-cardiacgroup,butsameresultwasnotfoundincardiacgroup.NTISwasi
