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- Title
脑死亡判定标准与技术规范培训分析: 诱发电位确认试验.
- Authors
张艳; 刘祎菲; 陈卫碧; 刘刚; 姜梦迪; 叶红; 范琳琳; 张运周; 高岱佺; 宿英英
- Abstract
Objective To analyze the training results of short - latency somatosensory - evoked potential (SLSEP) for brain death determination and to improve the training program. Methods A total of 101 trainees received theoretical training, simulation skills training, bedside skills training and test analysis for SLSEP in brain death determination. The composition of trainees was analyzed and the error rates of 6 knowledge points were calculated. Univariate and multivariate backward Logistic regression analyses were used to analyze the influence of factors including sex, age, specialty, professional category, professional qualification and hospital level, on the error rates. Results Among them, trainees of 30-49 years old occupied 76.24% (77/101), most of them were from third grade, grade A hospitals (98.02%, 99/101), and 78 trainees (77.23%) were from Department of Neurology. There were 82 clinicians (81.19%), 31 (30.69%) had senior certificate and 42 (41.58%) had intermediate certificate. Total error rate of 6 knowledge points was 4.50% (91/2020). Of the 6 knowledge points, the error rate of pitfalls was the highest (9.41%, 19/202), followed by result determination (5.94%, 12/202), recording techniques (4.75%, 24/505), procedures (3.96%, 32/808), sequence of confirmatory tests (1.98%, 2/101) and environmental conditions (0.99%, 2/202). Univariate and multivariate Logistic regression analyses showed that age (OR = 1.566, 95% CI: 1.116-2.197; P = 0.009) and professional qualification (OR = 1.669, 95% CI: 1.163-2.397; P = 0.005) were independent risk factors associated with high error rates. Conclusions The differences between brain death determination and routine check of SLSEP should be paid more attention to improve the quality of determination for brain death by SLSEP.
- Subjects
EDUCATION of physicians; BRAIN death; AGE distribution; ANALYSIS of variance; EVOKED potentials (Electrophysiology); MEDICAL protocols; MEDICAL specialties &; specialists; NEUROSURGERY; NEUROLOGY; REFERENCE values; RESEARCH funding; SOMATOSENSORY evoked potentials; LOGISTIC regression analysis; HEALTH literacy; DIAGNOSIS
- Publication
Chinese Journal of Contemporary Neurology & Neurosurgery, 2015, Vol 15, Issue 12, p961
- ISSN
1672-6731
- Publication type
Article
- DOI
10.3969/j.issn.1672-6731.2015.12.007