Trends in PACU utilization in Japanese children’s hospitals

Trends in PACU utilization in Japanese children’s hospitals
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日本儿童医院 PACU 使用趋势

DOI:
10.1007/s00540-020-02891-8
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发表时间:
2021
影响因子:
2.8
通讯作者:
Kazuya Sobue
Kazuya Sobue
中科院分区:
医学4区
文献类型:
--
作者:
Yoshiki Sento;Yasuyuki Suzuki;Kazuya Sobue

文献摘要

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尽管麻醉后监护室(PACU)管理在大多数发达国家已被视为标准程序,但日本医院中 PACU 的使用率较低(在我们之前的调查中仅为 16.1% [1])。调查显示,儿童医院PACU的使用率高于综合医院。为此,我们针对儿童医院进行了跟踪调查,以指导未来的发展方向。我们于 2019 年 10 月进行了问卷调查,并将调查结果与 2015 年的调查结果进行了比较。向日本儿童医院及相关机构协会(JACHRI)所有I类和II类会员医院的主席发送了调查问卷(表1)。本次调查的主要结果是2015年和2019年拥有PACU的儿童医院数量。在研究办公室没有及时得到问卷答复的情况下,研究办公室就主要结果采访了主席。如表2所示,评估了2015年的19家医院和2019年的18家医院(排除了1家停止聘用专职麻醉师的医院)。所有符合条件的儿童医院都提供了我们调查的主要结果。各有一家医院没有完整回复第一份和第二份问卷。拥有 PACU 的医院数量从 8 家 (42%) 增加到 11 家 (61%),并且没有
Although postanesthesia care unit (PACU) management has been considered a standard procedure in most developed countries, the use of PACU in Japanese hospitals has been low (only 16.1% in our previous survey [1]). In that survey, the utility of PACUs in children’s hospitals was higher than in general hospitals. Thus, we conducted a follow-up survey focused on children’s hospitals to guide future directions. We conducted a questionnaire survey in October 2019 and compared the findings to the 2015 survey. Questionnaires were sent to the chairpersons of all type I and II member hospitals of the Japanese Association of Children’s Hospitals and Related Institutions (JACHRI)(Table 1). The primary outcome of this survey was the number of children’s hospitals with a PACU in 2015 and 2019. When the study office did not obtain a reply to the questionnaire in time, the office interviewed the chairperson about the primary outcome.As shown in Table 2, 19 hospitals in 2015 and 18 hospitals in 2019 were evaluated (1 hospital that had ceased employing a full-time anesthesiologist was excluded). All eligible children’s hospitals provided the primary outcome of our survey. One hospital each did not fully reply to the first and second questionnaires. The number of hospitals with a PACU increased from 8 (42%) to 11 (61%), and no