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Journals / Erciyes Medical Journal / 2021 / Cilt: 43 - Sayı: 2

ABCDEF Bundle: An Undiscovered Golden Approachfor Acute Care Patients in Turkey

İlhan BAHAR
Gülseren ELAY
İsmail Hakkı AKBUDAK
Pages
180–183
Publication Date
2022-10-11
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The rates of using scales proposed by the ABCDEF bundle were remarkably low although most participantsacknowledged that the use of protocols and scales leads to decreased morbidity and mortality rates.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The ABCDEF (Assess, prevent, and manage Pain, Both spontaneous awakening trials and spontaneous breath ing trials, Choice of analgesia and sedation, Delirium: assess, prevent, and manage, Early mobility and Exercise, and Familyengagement and empowerment) bundle is a path for optimal resource utilization.
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Key Findings & Data:Materials and Methods: A cross-sectional online survey was administered to ICU physicians in Turkey, using SupplementalDigital Content 1, on June 20, 2018.
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Conclusion & Impact:Conclusion: The rates of using scales proposed by the ABCDEF bundle were remarkably low although most participantsacknowledged that the use of protocols and scales leads to decreased morbidity and mortality rates.
🔬Design:Survey & Empirical Study
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The ABCDEF (Assess, prevent, and manage Pain, Both spontaneous awakening trials and spontaneous breath ing trials, Choice of analgesia and sedation, Delirium: assess, prevent, and manage, Early mobility and Exercise, and Familyengagement and empowerment) bundle is a path for optimal resource utilization. This study aimed to investigate the knowl edge level and views of physicians working at the intensive care units (ICUs) in Turkey, a developing country, on the use ofABCDEF bundle. Materials and Methods: A cross-sectional online survey was administered to ICU physicians in Turkey, using SupplementalDigital Content 1, on June 20, 2018. The survey was terminated and deactivated on September 30, 2018. Results: A multidisciplinary team oriented for compliance with the ABCDEF bundle was not found to be present in any ofthe responding ICUs in Turkey. Of 461 participants, 161 (35.1%) were knowledgeable about the bundle. The bundle couldnot be used due to lack of a team and shortage of trained personnel. Conclusion: The rates of using scales proposed by the ABCDEF bundle were remarkably low although most participantsacknowledged that the use of protocols and scales leads to decreased morbidity and mortality rates.

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Cite This Article

BAHAR, İ., ELAY, G., AKBUDAK, İ. H. (2022). ABCDEF Bundle: An Undiscovered Golden Approachfor Acute Care Patients in Turkey. Erciyes Medical Journal, Cilt: 43 - Sayı: 2, 180–183. https://ajindex.com/articles/502252

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References (10)

  1. Yosef-Brauner O, Adi N, Ben Shahar T, Yehezkel E, Carmeli E. Effect of physical therapy on muscle strength, respiratory muscles and functional parameters in patients with intensive care unit-acquired weakness. Clin Respir J 2015; 9(1): 1–6
  2. Cubro H, Somun-Kapetanovic R, Thiery G, Talmor D, Gajic O. Cost effectiveness of intensive care in a low resource setting: A prospective cohort of medical critically ill patients. World J Crit Care Med 2016; 5(2): 150–64
  3. Ely EW. The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families. Crit Care Med 2017; 45(2): 321–30
  4. Barnes-Daly MA, Phillips G, Ely EW. Improving Hospital Survival and Reducing Brain Dysfunction at Seven California Community Hospitals: Implementing PAD Guidelines Via the ABCDEF Bundle in 6,064 Patients. Crit Care Med 2017; 45(2): 171–8
  5. Severgnini P, Pelosi P, Contino E, Serafinelli E, Novario R, Chiaranda M. Accuracy of Critical Care Pain Observation Tool and Behavioral Pain Scale to assess pain in critically ill conscious and unconscious patients: prospective, observational study. J Intensive Care 2016; 4: 68
  6. Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJC, Pandharipande PP, et al. Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Crit Care Med 2018; 46(9): e825–73
  7. Turunen H, Jakob SM, Ruokonen E, Kaukonen KM, Sarapohja T, Apajasalo M, et al. Dexmedetomidine versus standard care sedation with propofol or midazolam in intensive care: an economic evaluation. Crit Care 2015; 19(1): 67
  8. Morandi A, Piva S, Ely EW, Myatra SN, Salluh JIF, Amare D, et al. Worldwide Survey of the “Assessing Pain, Both Spontaneous Awakening and Breathing Trials, Choice of Drugs, Delirium Monitoring/ Management, Early Exercise/Mobility, and Family Empowerment” (ABCDEF) Bundle. Crit Care Med 2017; 45(11): e1111–22. 9. van Velthuijsen EL, Zwakhalen SMG, Warnier RMJ, Ambergen T, Mulder WJ, Verhey FRJ, et al. Can education improve clinical practice concerning delirium in older hospitalised patients? Results of a pre-test post-test study on an educational intervention for nursing staff. BMC Med Educ 2018; 18(1): 59
  9. Bounds M, Kram S, Speroni KG, Brice K, Luschinski MA, Harte S, et al. Effect of ABCDE Bundle Implementation on Prevalence of Delirium in Intensive Care Unit Patients. Am J Crit Care 2016; 25(6): 535–44
  10. Arias-Fernández P, R