作者
Hariharan Regunath, Archana Vasudevan, Kapil Vyas, Chen Li-Chien, Sachin Patil, Jane Terhune, Stevan P Whitt
发表日期
2019/7
期刊
Missouri Medicine
卷号
116
期号
4
页码范围
291
出版商
Missouri State Medical Association
简介
Background
As guidelines do not describe how to develop a multi-disciplinary team (MDT), we provide a model using quality improvement tools to design a MDT for infective endocarditis (IE).
Methods
Primary service, specialty teams and whether they had surgery or not (indications, reasons, outcomes and complications) were recorded for IE patients for January–December 2016. Criteria: age> 18years and definite IE per modified Duke criteria.
Results
Of all cases, 29/82 met criteria. Primary service: internal medicine 18 (62.1%), medical intensive care and cardiology 4 (13.8%) each, family medicine 2 (7.9%) and pediatrics 1 (3.4%). Surgery was indicated in 21 (72.4%), 9 (42.9%) underwent surgery, 12 (57.1%) did not [6/9 (66.67%) left side IE died, all right side IE (3, 25%) survived] and 2 (22.2%) had missed opportunities and this was chosen as the leverage point. MDT was developed to reduce the number of left …
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H Regunath, A Vasudevan, K Vyas, C Li-Chien, S Patil… - Missouri Medicine, 2019
