在医疗和神经科学重症监护室的同情性输出术后的死亡时间
Elaine Chen1, Nicholas Kosinski2, Ramandeep Kaur3
1Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, and Section of Palliative Medicine, Rush University Medical Center, USA.
Heart & lung : the journal of critical care
|November 1, 2024
概括
在神经科学重症监护室 (NSICU) 接受同情性输出 (CE) 的患者比在医疗重症监护室 (MICU) 的患者存活时间更长. 在CE之前,MICU患者有更严重的疾病和器官衰竭,导致术后的生存时间更短.
科学领域:
- 关键护理医学 关键护理医学
- 神经学 神经学
- 肺部病理学 肺部病理学
背景情况:
- 医疗重症监护室 (MICU) 和神经科学重症监护室 (NSICU) 人群之间,同情式输出管 (CE) 的结果可能有所不同.
- 了解这些差异对于患者护理和资源分配至关重要.
研究的目的:
- 为了比较在MICU和NSICU接受CE的患者的临床特征.
- 在这些不同的患者群体中评估CE后的死亡时间 (TTD).
主要方法:
- 一个回顾性队列研究于2021年在一个中心进行.
- 从50名完成CE的患者 (27名MICU,23名NSICU) 的数据进行了手动抽象.
- 曼-惠特尼U测试用于单位之间的特征的统计比较.
主要成果:
- 与NSICU患者相比,MICU患者在CE前的停留时间 (LOS) 较长 (10.0 vs 3.0天),TTD较短 (25 vs 195分钟).
- 在MICU的患者呈现出更高的医院前疾病负担 (CCI 6 vs 3),更大的器官衰竭 (SOFA 12 vs 6) 和更严重的低氧化症 (PaO2 / FiO2 149 vs 360).
- 主要死亡原因不同:MICU中的感染/癌症与NSICU中的内出血/缺血性中风.
结论:
- 与MICU患者相比,接受CE的NSICU患者在ICU停留时间较短,术后生存时间较长.
- 在CE时,MICU患者表现出更高的医院前疾病严重程度和器官衰竭.
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