对于那些在重症监护室幸存下来的医疗保险受益人的三年结果
Hannah Wunsch1, Carmen Guerra, Amber E Barnato
1Department of Anesthesiology, Columbia University, 622 W 168th St, PH-527D, New York, NY 10032, USA. hw2125@columbia.edu
JAMA
|March 4, 2010
概括
在重症监护室生存的老年患者的3年死亡率高于一般或住院对照组. 机械通风显著增加了这种风险,特别是在排放后的前六个月.
科学领域:
- 关键护理医学 关键护理医学
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 重症监护室 (ICU) 患者的医院死亡率有所下降.
- 对于ICU幸存者的长期结果尚不清楚.
研究的目的:
- 评估医疗保险受益者在重症监护中生存的3年生存率和结果.
主要方法:
- 65岁以上的医疗保险受益人的回顾性队列研究.
- 匹配的对照组包括住院患者和普通人群.
- 医院出院后3年的随访.
主要成果:
- 与医院 (34.5%) 和一般 (14.9%) 对照相比,ICU幸存者有更高的3年死亡率 (39.5%).
- 机械通风显著增加了死亡风险 (57.6%对比对照组的32.8%).
- 退院到熟练护理机构与更高的6个月死亡率有关.
结论:
- 幸存下来重症监护的大量老年人面临着高的长期死亡率.
- 机械通风是导致急症室后死亡率增加的一个关键因素.
- 退院后的早期时期对于高风险的ICU幸存者来说至关重要.
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