在传染病重症监护病房中对中枢神经系统感染进行分析和基准分析
Hugo Boechat Andrade1,2, Ivan Rocha Ferreira da Silva3, Rodolfo Espinoza4,5
1Intensive Care Unit, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (Fiocruz), Rio de Janeiro, RJ, Brazil.
专门从事传染病的重症监护室 (ICU) 为社区获得的中枢神经系统感染 (CNSI) 提供有效的治疗. 与一般ICU相比,这些专业ICU显示出更好的结果,有助于基准测试和案例混合分类.
科学领域:
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于专注于传染病的ICU与其他ICU在社区获得的中枢神经系统感染 (CNSI) 的比较性能的数据有限.
- 在CNSI处理中需要进行基准分析和案例混合分类.
研究的目的:
- 为了比较社区获得的中枢神经系统感染 (CNSI) 在感染性疾病专科ICU与其他ICU的治疗性能.
- 建立对CNSI处理的基准和案例混合分类的基础.
主要方法:
- 从2012年1月到2019年1月,对82例感染性疾病ICU (INI) 中的CNSI病例进行了回顾性观察队列研究.
- 通过使用Epimed Monitor数据库,与巴西公共卫生系统 (SUS) 的303,500例重症监护病例进行比较.
- 收集的临床,流行病学和绩效指标,包括标准化死亡率 (SMR) 和标准化资源使用率 (SRU).
主要成果:
- 在INI重症监护室,所有患者的SMR为1.1和SRU为1.1;在CNSI患者的SMR为0.95和SRU为1.01.
- 在SUS混合医疗/外科ICU中,SMR=1.26,SRU=1.59.
- 在SUS神经科重症监护室显示SMR=1.17,SRU=2.23.
结论:
- 严重的CNSI患者在专门用于传染病的ICU中得到更高效和有效的治疗.
- 这项研究提供了有价值的分析和案例组合数据,用于对各机构和国家的CNSI治疗进行比较.
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