在重症监护室和普通病房中比较重症患者的结果:综合分析
Chailat Maluangnon1, Paweena Kanogpotjananont1,2, Surat Tongyoo1
1Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
International journal of general medicine
|August 31, 2023
概括
进入重症监护室 (ICU) 的重症患者的死亡率高于在普通病房接受治疗的患者. 患病的患者,具有较高的BMI更有可能被接受到ICU.
科学领域:
- 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:
- 对于重症患者来说,进入重症监护室 (ICU) 是至关重要的,但由于床位短缺而受到限制.
- 对于被拒绝接受ICU治疗的患者的结果仍在讨论中,特别是在资源有限的环境中.
研究的目的:
- 调查严重病的泰国患者的ICU入院和死亡率的影响结果和因素.
主要方法:
- 对需要接受ICU治疗的重症成年人进行前性队列研究.
- 患者被跟踪了28天,不管是否入住了ICU.
- 收集的数据包括死亡率,住院时间,器官支持以及入院/死亡的因素.
主要成果:
- 72/180名患者入院于ICU;108人在普通病房接受护理.
- 在ICU组,28天死亡率更高 (44.4%对20.4%,P=0.001).
- 意识的改变,上腺素和上腺素预测死亡率;更高的BMI,APACHE II分数和AKI预测了ICU接受.
结论:
- 接受ICU治疗的患者28天死亡率更高.
- 意识的改变和血管压缩剂的使用与死亡率的增加相关.
- 患病的患者,具有较高的BMI更有可能接受ICU入院.
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