多学科团队诊疗模式在急诊患者中应用的范围综述

doi:10.3761/j.issn.2096-7446.2025.01.019

Abstract

Abstract:

Objective To review the application of the multidisciplinary team（MDT） diagnosis and treatment model in emergency patients，to provide a reference for clinical medical staff to carry out the MDT diagnosis and treatment model and related research. Methods According to the research method of scoping review，a literature search was performed in the CNKI，Wanfang Data，CBM，VIP，Web of Science，PubMed，Embase，Cochrane Library. The retrieval time limit was from the establishment of the databases to December 16th，2023. Literature was screened according to inclusion and exclusion criteria，the quality of the included literature was evaluated，and summarized. Results A total of 14 articles were included. MDT diagnosis and treatment model were mainly used in emergency patients with stroke，trauma and upper gastrointestinal bleeding. MDT was generally led by doctors，nurses or both. Team members and responsibilities were divided by department or position. The starting time mainly included the time after diagnosis，after evaluation by the doctor，when the relevant score reaches a certain value，or the emergency stay time ≥72 h. The main intervention segment included pre-hospital，triage and evaluation in-hospital，transfer process，observation period treatment，preoperative evaluation，postoperative care and discharge follow-up stage. The outcome evaluation indicators included the time spent in each segment，treatment effect and patients’ or their relatives’ satisfaction. Conclusion The MDT diagnosis and treatment model can improve the effects of treatment and nursing in emergency patients，shorten emergency department length of stay，and improve patient satisfaction. In the future，it is necessary to continuously improve the implementation strategy of the multidisciplinary team diagnosis and treatment model，explore a standardized and integrated multi-disciplinary diagnosis and treatment model for single diseases，build a comprehensive and scientific process evaluation system，and conduct high-quality randomized controlled studies to verify its application effect.

Key words: Multidisciplinary Team, MDT, Emergency Service, Hospital, First-Aid, Nursing Care

JING Chenyang, JI Li, CHEN Shan, HE Guobao, WANG Tuohong, FAN Luo. The application of multidisciplinary team diagnosis and treatment model in emergency patients：a scoping review[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(1): 114-119.

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References 27

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The application of multidisciplinary team diagnosis and treatment model in emergency patients：a scoping review

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