CLINICAL OUTCOME OF PATIENTS UNDERGOING EXTRACORPOREAL MEMBRANE OXYGENATION AFTER MULTIDISCIPLINARY TRAINING

ABSTRACT

Objective

to verify the influence of multidisciplinary team training on the clinical outcome of adult patients undergoing extracorporeal membrane oxygenation

Method

observational study, conducted in an Adult Intensive Care Unit of a hospital in the southern zone of São Paulo, from 2012 to 2020. Survival analysis was performed by the Kaplan-Meier method and the probability of in-hospital mortality was analyzed by a multiple logistic regression model

Results

72 patients were included, 54 (75%) after the training period. A reduction in mortality from 83.3% to 57.4% was observed after training (p=0.047), with an increase in 90-day survival of 31% after training

Conclusion

the impact of training on in-hospital death rate and 90-day survival is an incentive for hospital managers to adopt the training model with their teams to ensure better quality care

DESCRIPTORS
Extracorporeal Membrane Oxygenation; Professional Training; Mentoring; Intensive Care Units; Critical Care