重症患者的设施间转移:转移状态不会影响生存率
Garrett McDougall1, Osama Loubani2
1Department of Emergency Medicine, McMaster University, Hamilton, ON, Canada.
Journal of critical care
|April 18, 2024
概括
在新斯科舍省重症监护室内,重症患者的设施间转移并没有影响医院死亡率. 这项研究发现,转移患者与未转移患者的结局没有显著差异.
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
- 患者的治疗结果.
背景情况:
- 危急病患者的设施间转移是常见的.
- 了解转移对患者死亡率的影响对于优化护理至关重要.
研究的目的:
- 为了比较在ICU期间转移的成人重症监护室 (ICU) 患者与未转移的患者之间的病例混合调整后的医院死亡率.
主要方法:
- 分析了加拿大新斯科舍省12个ICU的19,260次ICU访问 (从2018年4月至2023年9月).
- 利用通用添加模型 (GAMs) 来估计病例组合调整后医院死亡率的差异.
- 数据来源于新斯科舍省ICU数据库.
主要成果:
- 5% (1040/19,260) 的ICU访问涉及设施间转移.
- 在转移和未转移的患者之间没有发现医院死亡率的显著差异 (OR,0.99;95% CI,0.82-1.19).
- 观察到多次转移的潜在差异 (OR,0.68;95% CI,0.46-1.00,p=0.05),但在敏感性分析中没有得到证实.
结论:
- 在新斯科舍省,将重症患者从一个ICU转移到另一个ICU并没有显著影响病例组合调整后的医院死亡率.
- 与没有转移相比,单次或多次转移之间没有观察到死亡率差异.
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