重症护理幸存者的三年死亡率,再入院和医疗费用:基于人口的队列研究
1College of Nursing, Dong-A University, Busan, South Korea.
概括
重症监护室的幸存者面临着高的死亡率和再入院率,特别是在出院后的六个月内. 这突出了对重症监护患者的干预和支持的关键时期.
科学领域:
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
- 医疗服务研究 医疗服务研究
背景情况:
- 越来越多的重症监护幸存者需要研究长期结果.
- 了解出院后的轨迹对于医疗保健规划至关重要.
研究的目的:
- 检查重症监护室 (ICU) 幸存者的三年死亡率,再入院和医疗费用.
- 确定与ICU幸存者的不良结果相关的风险因素.
主要方法:
- 对韩国国家医疗保险服务数据 (2012) 的回顾性分析.
- 将2693名ICU幸存者 (病例组) 与193,009名非ICU患者 (比较组) 进行比较.
- 通过回归分析,在3年内评估了全因死亡率,再入院和医疗费用.
主要成果:
- 在ICU幸存者的3年累积死亡率为24.4%.
- 近40%的ICU幸存者在6个月内被重新录取,比比较组的几率要高得多.
- 重症监护室的幸存者承担的医疗费用要高得多,在出院后的前6个月内达到顶峰.
结论:
- 退院后的最初6个月对ICU幸存者来说是一个关键时期,其死亡率,再入院和医疗费用最高.
- 进一步调查在此期间导致负面结果的因素是有必要的.
- 需要进行额外的研究,以确定导致这一群体医疗费用增加的服务.
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