PDF(Pubmed)
Abstract：
OBJECTIVE: A standardized ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) using online- and simulation-based training was first designed and then large-scale deployed at a teaching hospital institution to improve CVC surgical education. To understand the impact that the standardized training might have on patient complications, this study focuses on identifying the impact of the integration of an iteratively designed US-IJCVC training on clinical complications at a teaching hospital.
METHODS: A comparative study was conducted using TriNetX, a global health research network. Using Current Procedural Terminology (CPT) codes and the International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes, we identified the total number of patients with a CVC and mechanical, infectious, and thrombosis complications with and without billable ultrasound between July 1 to June 30 in 2016, 2017, and 2022.
METHODS: A teaching hospital institution in Pennsylvania.
RESULTS: Results showed a correlation between years and complications indicating, (1) mechanical complications billable ultrasound, (2) infectious complications billable ultrasound, and (3) thrombosis complications billable ultrasound were significantly lower with the large-scale deployment. Results also showed that (4) mechanical, infectious, and thrombosis complications with and without billable ultrasound are within the range that prior work has reported.
CONCLUSIONS: These results indicate that there has been a decrease in mechanical, infectious, and thrombosis complications, which correlates with the US-IJCVC training large-scale deployment.
METHODS: A comparative study was conducted using TriNetX, a global health research network. Using Current Procedural Terminology (CPT) codes and the International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes, we identified the total number of patients with a CVC and mechanical, infectious, and thrombosis complications with and without billable ultrasound between July 1 to June 30 in 2016, 2017, and 2022.
METHODS: A teaching hospital institution in Pennsylvania.
RESULTS: Results showed a correlation between years and complications indicating, (1) mechanical complications billable ultrasound, (2) infectious complications billable ultrasound, and (3) thrombosis complications billable ultrasound were significantly lower with the large-scale deployment. Results also showed that (4) mechanical, infectious, and thrombosis complications with and without billable ultrasound are within the range that prior work has reported.
CONCLUSIONS: These results indicate that there has been a decrease in mechanical, infectious, and thrombosis complications, which correlates with the US-IJCVC training large-scale deployment.
摘要：
目的：首先设计了一种标准化的超声引导颈内中心静脉置管（US-IJCVC），使用基于在线和模拟的培训，然后在教学医院进行大规模部署，以改善CVC外科教育。为了了解标准化培训可能对患者并发症的影响，本研究的重点是确定在教学医院中,整合迭代设计的US-IJCVC培训对临床并发症的影响.
方法：使用TriNetX进行了一项比较研究，全球健康研究网络。使用当前程序术语（CPT）代码和国际疾病和相关健康问题统计分类（ICD-10）代码，我们确定了CVC和机械性，传染性,以及2016年,2017年和2022年7月1日至6月30日期间有无计费超声的血栓形成并发症.
方法：宾夕法尼亚州的教学医院。
结果：结果显示年份与并发症之间存在相关性，（1）机械性并发症，（2）感染性并发症计费超声，（3）血栓形成并发症，大规模部署的超声检查明显较低。结果还表明，(4)机械，传染性,和血栓并发症有和没有收费的超声检查是在以前的工作报告的范围内。
结论：这些结果表明，机械，传染性,和血栓并发症，这与US-IJCVC培训大规模部署相关。
方法：使用TriNetX进行了一项比较研究，全球健康研究网络。使用当前程序术语（CPT）代码和国际疾病和相关健康问题统计分类（ICD-10）代码，我们确定了CVC和机械性，传染性,以及2016年,2017年和2022年7月1日至6月30日期间有无计费超声的血栓形成并发症.
方法：宾夕法尼亚州的教学医院。
结果：结果显示年份与并发症之间存在相关性，（1）机械性并发症，（2）感染性并发症计费超声，（3）血栓形成并发症，大规模部署的超声检查明显较低。结果还表明，(4)机械，传染性,和血栓并发症有和没有收费的超声检查是在以前的工作报告的范围内。
结论：这些结果表明，机械，传染性,和血栓并发症，这与US-IJCVC培训大规模部署相关。
