Effect of ICU specialist care quality control team management program in continuous renal replacement therapy: A retrospective comparative study

This study aims to evaluate the effectiveness of the intensive care unit (ICU) specialist care quality control team management of patients treated with continuous renal replacement therapy (CRRT). A retrospective comparative study design was used to compare 2 groups of critically ill CRRT patients in the ICU. Subjects were 519 critically ill CRRT patients admitted to the ICU from January 2018 to December 2021. The control group (n = 265) received routine bedside care management of CRRT, and the experimental group (n = 254) received management by the CRRT specialist quality control group. Outcomes compared included unplanned down rate, unplanned down time, continuous treatment > 24 hours up to standard rate, 72 hours up to standard scheduled down rate, average daily hemodialysis cost, average use time of a single filter, unplanned extubation rate, incidence of catheter-associated bloodstream infection, nursing satisfaction, blood biochemical indexes, and coagulation indexes. The experimental group had a lower unplanned down rate(28.8% vs 42.6%), increased average unplanned down time (20.91 ± 11.21 vs 15.71 ± 7.33), higher continuous treatment > 24 hours up to standard rate (69.0% vs 55.5%), increased 72 hours up to standard scheduled down rate (16.7% vs 8.6%), decreased average daily hemodialysis cost (2947.3 ± 231.22 vs 3508.3 ± 423.22), prolonged average use time of a single filter (39.8 ± 9.47 vs 25.84 ± 7.62), lower unplanned extubation rate (1.9% vs 12.8%), and lower incidence of catheter-related bloodstream infection (0.7% vs 6.8%) compared to the control group (P < .05). The experimental group showed higher nursing satisfaction than the control group (92.9% vs 75.1%, P < .05). Blood potassium, sodium, blood urea nitrogen, and serum creatinine levels were significantly lower in the experimental group, with improved coagulation index values compared to controls (P < .05). ICU nursing quality control team management plan improve the quality of medical care, ensure patients to achieve good therapeutic effect of the goal, worthy of clinical application.