在澳大利亚COVID-19患者的快速反应小组审查后,重症监护室的入院人员在澳大利亚的COVID-19患者中进行了快速反应
Craig Johnston1, Ashwin Subramaniam2,3, Judit Orosz1
1Department of Intensive Care and Hyperbaric Medicine, Alfred Hospital, Melbourne, VIC, Australia.
概括
快速反应小组 (RRT) 的审查经常导致COVID-19患者的重症监护室 (ICU) 入院. 在这些ICU患者中,住院心脏骤停是罕见的,与RRT审查相关的死亡率没有增加.
科学领域:
- 关键护理医学 关键护理医学
- 传染病 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 快速反应小组 (RRT) 对于管理病情恶化的患者至关重要.
- 了解入住重症监护室 (ICU) 的COVID-19患者的RRT利用对于资源配置和患者的结果很重要.
- 住院心脏骤停 (IHCA) 是ICU设置中的一个关键事件.
研究的目的:
- 调查RRT审查的流行病学,导致澳大利亚COVID-19患者的ICU入院.
- 确定COVID-19确诊的ICU患者中IHCA的发生频率.
主要方法:
- 在48个澳大利亚ICU进行了一项多中心,回顾性队列研究.
- 从2020年1月至10月期间接受参与ICU的成年COVID-19患者收集了数据.
- 患者数据与澳大利亚SPRINT-SARI研究和ANZICS成人患者数据库之间的联系.
主要成果:
- 近一半的重症COVID-19患者 (48.2%) 从病房入院,其中30.5%需要在RRT审查后入院ICU.
- 通过RRT审查入院的患者患病严重程度得分较高,从症状发作到住院的时间较短.
- 住院心脏骤停发生在1.9%的COVID-19ICU患者中,主要发生在ICU停留期间,根据之前的RRT审查,死亡率没有显著差异.
结论:
- RRT审查是病情恶化的COVID-19患者被送往ICU的常见途径.
- 医院内心脏骤停在澳大利亚ICU中的COVID-19患者中并不常见.
- 在这个队列中,RRT参与似乎没有影响IHCA率或整体死亡率.
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