ISSN: 2149-2247 | E-ISSN: 2149-2549
ABCDEF Bundle: An Undiscovered Golden Approach for Acute Care Patients in Turkey [Erciyes Med J]
Erciyes Med J. 2021; 43(2): 180-183 | DOI: 10.14744/etd.2020.39225

ABCDEF Bundle: An Undiscovered Golden Approach for Acute Care Patients in Turkey

Gülseren Elay1, İsmail Hakkı Akbudak2, Ilhan Bahar3
1Department of Internal Medicine, Medical Intensive Care Unit, Gaziantep University Training and Research Hospital, Gaziantep, Turkey
2Department of Internal Medicine, Medical Intensive Care Unit, Pamukkale University Training and Research Hospital, Denizli, Turkey
3Department of Anesthesiology, Intensive Care Unit, Katip Çelebi Training and Research Hospital, İzmir, Turkey

Objective: The ABCDEF (Assess, prevent, and manage Pain, Both spontaneous awakening trials and spontaneous breathing trials, Choice of analgesia and sedation, Delirium: assess, prevent, and manage, Early mobility and Exercise, and Family engagement and empowerment) bundle is a path for optimal resource utilization. This study aimed to investigate the knowledge level and views of physicians working at the intensive care units (ICUs) in Turkey, a developing country, on the use of ABCDEF bundle.
Materials and Methods: A cross-sectional online survey was administered to ICU physicians in Turkey, using Supplemental Digital 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 of the responding ICUs in Turkey. Of 461 participants, 161 (35.1%) were knowledgeable about the bundle. The bundle could not 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 participants acknowledged that the use of protocols and scales leads to decreased morbidity and mortality rates.

Keywords: ABCDEF bundle, scale, multidiciplinary team, critical care

Gülseren Elay, İsmail Hakkı Akbudak, Ilhan Bahar. ABCDEF Bundle: An Undiscovered Golden Approach for Acute Care Patients in Turkey. Erciyes Med J. 2021; 43(2): 180-183

Corresponding Author: Gülseren Elay, Türkiye
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