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Daily compliance of the ABCDEF liberation bundle for patients in the intensive care unit: A retrospective descriptive study

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dc.contributor.authorMuñoz, Felipe
dc.contributor.authorLeppe Zamora, Jaime
dc.contributor.authorGonzález Seguel, Felipe
dc.contributor.authorCastro-Avila, Ana Cristina
dc.date.accessioned2025-01-17T15:26:33Z
dc.date.available2025-01-17T15:26:33Z
dc.date.issued2024
dc.description.abstractIntroduction Implementing the ABCDEF bundle has demonstrated improved outcomes in patients with critical illness. This study aims to describe the daily compliance of the ABCDEF bundle in a Chilean intensive care unit. Methods Retrospective observational study of electronic clinical records of nursing, physiotherapy, and medical professionals who cared for patients over 18 years of age, admitted to an intensive care unit for at least 24 hours, with or without mechanical ventilation. Daily bundle compliance was determined by considering the daily records for each element: Assess pain (element A), both spontaneous awakening trials (element B1) and spontaneous breathing trials (element B2), choice of sedation (element C), delirium assessment (element D), early mobilization (element E), and family engagement (element F). Results 4165 registered bundle elements were obtained from nursing (47%), physiotherapy (44%), and physicians (7%), including 1134 patient/days (from 133 patients). Elements E and C showed 67 and 40% compliance, while D, A, and B2 showed 24, 14 and 11%, respectively. For B1 and F, 0% compliance was achieved. Compliance was higher in patients without mechanical ventilation for A and E, while it was similar for D. Conclusions Early mobilization had the highest compliance, while spontaneous awakening trials and family engagement had absolute non-compliance. Future studies should explore the reasons for the different degrees of compliance per bundle element in clinical practice.
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dc.identifier.citationMuñoz-Muñoz F, Leppe J, González-Seguel F, Castro-Ávila A. Daily compliance of the ABCDEF liberation bundle for patients in the intensive care unit: A retrospective descriptive study. Medwave 2024;24(4):e2795
dc.identifier.doihttps://doi.org/10.5867/medwave.2024.04.2795
dc.identifier.urihttps://hdl.handle.net/11447/9675
dc.language.isoen
dc.subjectIntensive Care Unit
dc.subjectDelirium
dc.subjectCritical Illness
dc.subjectPatient Care Packages
dc.subjectQuality Improvement
dc.titleDaily compliance of the ABCDEF liberation bundle for patients in the intensive care unit: A retrospective descriptive study
dc.title.alternativeCumplimiento diario del bundle ABCDEF de liberación de los pacientes de cuidados intensivos: estudio descriptivo retrospectivo
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceMedwave
dspace.entity.typePublication
relation.isAuthorOfPublication90f15585-1663-4877-ad35-b57dea1225b5
relation.isAuthorOfPublication507eb05b-daec-4369-9b2c-ce63a17a6844
relation.isAuthorOfPublication4fe4a390-a8ce-4d42-a250-25c6907cbbba
relation.isAuthorOfPublication.latestForDiscovery90f15585-1663-4877-ad35-b57dea1225b5

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