COVID-EX. Influence de la pandémie de Covid-19 sur le taux d’extubation non programmée en réanimation : étude castemoins rétrospective (notice n° 1022210)
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| fixed length control field | 03979cam a2200361 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250125165649.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Jan, Marie |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | COVID-EX. Influence de la pandémie de Covid-19 sur le taux d’extubation non programmée en réanimation : étude castemoins rétrospective |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2021.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 93 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Contexte : en réanimation, de nombreux patients sont intubés, et l’extubation non programmée (ENP) est un indicateur de la qualité des soins.L’isolement associé aux précautions « air » chez les patients Covid sous ventilation mécanique (VM) pourrait augmenter les ENP. L’objectif principal était de comparer le taux d’ENP entre une période COVID-19 et une période contrôle, et les objectifs secondaires étaient d’étudier les facteurs de risque et le ressenti des soignants.Méthode : il s’agit d’une étude cas-témoins rétrospective monocentrique. Les patients majeurs sous VM étaient éligibles en deux périodes, contrôle du 01 au 29/02/20 puis COVID-19 du 01 au 31/03/20. Un questionnaire a été distribué aux soignants de réanimation.Résultats : le taux d’ENP était de 17 % (7 ENP) vs 20 % (9 ENP) période contrôle vs COVID-19 ( p=0,58), avec une prépondérance nocturne (75 %). Un quart des patients remplissaient les critères de sevrage. Le taux de participation au questionnaire était de 71 % (n=49). Pour 76 % (n=37) des soignants, la période COVID-19 était à risque d’ENP avec le sentiment d’une charge de travail plus importante, de difficultés de surveillance et d’une diminution du nombre de passages dans les chambres.Conclusion : contrairement au ressenti des soignantes, le taux d’ENP était similaire au cours des deux périodes, COVID-19 vs contrôle. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Context: In ICUs, many patients are intubated. UE is an indicator of the quality of care.Isolation associated with “air” precautions may increase the number of UEs in mechanically ventilated (MV) COVID patients.The main aim of the study was to compare the rate of UE between a COVID-19 period and a control period. The secondary aims were to identify UE risk factors and to study the experience of caregivers during the COVID-19 period.Method: The method of choice was a retrospective single center case-control study. MV patients aged ≥ 18 years were eligible in two periods: the control period from 01/02/2020 to 29/02/2020, and the COVID-19 period from 01/03/2020 to 31/03/2020. An anonymous survey was given to ICU caregivers in Vannes Hospital.Results: The UE rate was 17% (n=7) vs. 20% (n=9) control period vs. COVID-19 period (p=0.58), with nocturnal preponderance (75%). A quarter (n=4) of patients fulfill MV weaning criteria at the time of UE. A 71% (n=49) survey response rate was obtained. The COVID-19 period had a higher estimated UE risk for 76% (n=37) of caregivers, who felt that they had a greater workload, difficulties with monitoring, and decreased regular visits to patients’ rooms.Conclusion: Contrary to the caregiver experience, we reported a similar UE rate over both the COVID-19 period and the control period. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | ventilation mécanique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | charge de travail |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | extubation non programmée |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | COVID-19 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | qualité des soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | SARS-COV-2 pneumonia |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | quality of care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | COVID-19 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | mechanical ventilation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | unplanned extubation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | workload |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mainguy, Nolwenn |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hamon, François |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bigot, Sébastien |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Delbove, Agathe |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Goepp, Angélique |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Recherche en soins infirmiers | 146 | 3 | 2021-10-15 | p. 95-104 | 0297-2964 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-recherche-en-soins-infirmiers-2021-3-page-95?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-recherche-en-soins-infirmiers-2021-3-page-95?lang=fr&redirect-ssocas=7080</a> |
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