Key result
Early multidisciplinary cluster care improves cardiac function and shortens ventilation versus routine nursing.
Why the study?
To investigate the preventive effect of early multidisciplinary collaboration combined with cluster strategy on acquired frailty syndrome in ICU patients with acute myocardial infarction.
Does early multidisciplinary collaboration combined with a cluster strategy improve clinical, functional, and resource utilization outcomes in ICU patients with acute myocardial infarction?
RCT (n=240)
random number method
No
Does early multidisciplinary collaboration combined with a cluster strategy improve clinical, functional, and resource utilization outcomes in ICU patients with acute myocardial infarction?
Early multidisciplinary collaboration and cluster strategies in the ICU significantly improve functional recovery and reduce length of stay and complications in patients with acute myocardial infarction.
Answers are grounded in this paper and cite their sources.
May support multidisciplinary ICU strategies to reduce frailty in AMI; leaves open confirmation via larger multicenter trials before practice change.
Background: To investigate the preventive effect of early multidisciplinary collaboration combined with cluster strategy on acquired frailty syndrome in ICU of patients with acute myocardial infarction (AMI). Methods: A total of 240 patients with myocardial infarction (MI) admitted to ICU in The Third Affiliated Hospital of Qiqihar Medical University, Qiqihar, China from March 2018 to March 2020 were selected. The patients were randomly divided into experiment group and control group equally according to random number method. The experimental group was treated with early multidisciplinary collaboration and cluster strategy, while the control group was treated with routine nursing mode. Duration of ventilation, total length of stay, length of ICU stay, New York College of Cardiology cardiac function classification, MRC-Score, BI and complications during hospitalization were recorded. Results: After intervention, there were statistically significant differences in ventilation duration, total length of stay, length of stay in ICU, Heart function classification of New York Cardiology Society, MRC-Score, BI index, SF-36 score and complications during hospitalization in 2 groups (P < 0.05), and the above indicators in the experimental group were better than those in the control group. Conclusion: Early multidisciplinary collaboration combined with cluster strategy can significantly reduce the incidence of AMI in ICU of MI patients.
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Zhao et al. (2022) conducted an RCT in acute myocardial infarction (n=240). Early multidisciplinary collaboration combined with cluster strategy vs. Routine nursing mode was evaluated on Ventilation duration, length of stay, cardiac function, MRC-Score, BI index, SF-36 score, and complications (p=<0.05). Early multidisciplinary collaboration combined with a cluster strategy significantly improved ventilation duration, length of stay, cardiac function, and complications compared to routine nursing (P<0.05).
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