早期与晚期重症监护病房再入院的死亡率
Ahmed Fouad Mady1,2, Mohammed Ali Al-Odat1, Rayan Alshaya1
1Department of Critical Care, King Saud Medical City, Riyadh, Saudi Arabia.
Saudi journal of medicine & medical sciences
|May 30, 2023
概括
早期的ICU再入院与较晚的再入院相比,与较低的死亡率有关. 这项研究突出了需要重症监护室再入院的患者结果的关键差异.
科学领域:
- 关键护理医学 关键护理医学
- 医院再接收研究研究
- 患者研究成果研究结果
背景情况:
- 重新入住重症监护室 (ICU) 是患者不良结果的重要指标.
- 有限的研究特别比较了早期和晚期的ICU再入院,特别是在沙特阿拉伯的背景下.
研究的目的:
- 进行早期和晚期ICU再入院之间的结果的比较分析.
- 主要研究对医院死亡率的影响.
主要方法:
- 在沙特阿拉伯利雅得的沙特国王医疗城 (King Saud Medical City, Riyadh) 采用了一种回顾性研究设计.
- 在2天内重新入院到ICU的患者被归类为"早期",在2天后重新入院的患者被归类为"晚期".
- 数据收集时间为2015年1月1日至2022年6月30日.
主要成果:
- 该研究包括997名患者,其中75.5%在晚期再入院组.
- 晚期组的死亡率明显高 (37.6%) 与早期组 (29.5%) 相比.
- 虽然再入院停留时间和重症评分相似,但早期再入院的死亡率较低 (OR=0.71,P=0.04).
结论:
- 早期的ICU再入院与较晚的再入院相比,与减少的医院死亡率有关.
- 然而,提前再接收与停留时间或严重程度得分的显著差异没有相关性.
- 早期 readmission的主要驱动因素是高的修改早期预警分数,而迟来的 readmissions 往往是由于呼吸衰竭或败血症.
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