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| Impact of the rapid response team work mode for treating critically ill pregnant women on the rescue efficiency and the treatment outcomes |
| Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing First Hospital, Jiangsu Province, 210006 |
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Abstract To observe the intervention effect of the rapid response team (RRT) work mode for treating critically ill pregnant women. Methods: A retrospective analysis was conducted on the clinical data of 148 critically ill pregnant women who underwent routine nursing from October 2021 to October 2022 (in control group) and 152 critically ill pregnant women who underwent RRT work mode from November 2022 to November 2023 (in observation group). The rescue efficiency, the treatment outcomes, the newborn condition and the maternal complications were compared between the two groups. Results: The treatment time (22.6±4.0 min), the rescue success rate (10.5%), the cesarean section rate (35.5%), the neonatal mortality rate (0), the rate of entering ICU (2.0%), the hospitalization time (7.56±1.34d), and the total incidence of complications (2.6%) of the women in the observation group were significantly lower than those (33.0±4.5min, 18.9%, 52.0%, 4.1%, 27.7%, 10.86±3.33d and 12.2%) of the women in the control group. The early warning rate (40.1%) and the effective treatment rate (98.0%) of the women, and the 5min Apgar score (8.74±0.58 point) and the umbilical cord blood pH value (7.64±1.96) of the neonates in the observation group were significantly higher than those (27.7%, 81.8%, 8.46±0.64 points and 4.96±1.34) in the control group (all P<0.05). There were no significant differences in the maternal mortality rate and the neonatal Apgar score at 1min after birth between the two groups (P>0.05). Conclusion: RRT work mode can improve the rescue efficiency of the critically ill pregnant women, which can improve the treatment outcomes and neonatal conditions.
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