医院间重症监护转移后的结果
Meghan E Edmondson1, Andrew P Reimer2
1Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, OH.
Air medical journal
|September 18, 2024
概括
医院间转移到重症监护室 (ICU) 没有根据ICU分专业的停留时间或死亡率的差异. 年龄和从另一个ICU转移与分别增加死亡率和逗留时间有关.
科学领域:
- 关键护理医学 关键护理医学
- 医疗服务研究 医疗服务研究
背景情况:
- 医院间转移,特别是重症监护室 (ICU),与住院时间和死亡率的增加有关.
- 虽然手术ICU显示转移患者的死亡率更高,但其他ICU类型之间的差异尚未得到充分确立.
研究的目的:
- 对转移患者的重症监护室 (ICU) 的不同分专科之间停留时间和死亡率的变化进行调查.
主要方法:
- 一个重症监护转移数据库的回顾性分析.
- 利用多重和后勤回归来确定影响停留时间和死亡率的因素.
主要成果:
- 根据ICU子专业,没有观察到停留时间或死亡率的显著差异.
- 年龄的每年增加与死亡率上升8.6%相关 (P = .002).
- 从ICU转移与6.3天更长的停留时间相关 (P < .001),非白种患者的停留时间缩短了3.4天 (P = .012).
结论:
- 重症监护室子专业似乎没有影响转移患者的停留时间或死亡率.
- 需要进一步的研究来阐明派遣单位类型和种族对逗留时间的影响.
- 需要确定预测手术ICU死亡率的其他因素.
相关概念视频
Types of Reports I: Hands-off Report
890
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
890
Discharge Summary Forms
749
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
749
Hospitals-II
739
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
739
SBAR I: Understanding the Concept
4.4K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.4K
Tissue Transplantation
343
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
343
Endotracheal Intubation II: Nursing Management
520
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
520


