Application of Omaha system-based case management model in ICU patients with severe respiratory failure

Abstract

Objective To explore the effects of Omaha system-based case management model on the prognosis of ICU patients with severe respiratory failure. Methods Totally 84 cases of patients with severe respiratory failure in our hospital from June 2014 to June 2016 were selected and divided into the observation group (n=42) and the control group (n=42) according to random number table. Patients in the control group were given routine nursing during ventilation, while patients in the observation group were given Omaha system-based case management model. The prognosis and complications of patients in two groups were compared. Results The level of blood lactate, the scores of acute physiology and chronic health evaluation system (APACHEⅡ), and the rates of ventilator-dependent, ventilator associated pneumonia (VAP) and reintubation were all lower than the data in the control group, while the time of mechanical ventilation and staying in ICU, as well as the total hospitalization time were all shorter than the time in the control group (P<0.05). Conclusions The Omaha system-based case management model can effectively improve the prognosis of ICU mechanically ventilated patients with severe respiratory failure, shorter the hospitalization time, and improve patient satisfaction. Key words: Respiration, artificial; Prognosis; Severe respiratory failure; Omaha system; Case management model