在重症监护病房-病房间间医院间转移后死亡的间接风险因素 - - 瑞典注册研究
Jesper Sternley1, Karl Stattin1, Max Petzold2
1Anaesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, 715 85, Uppsala, Sweden.
Scandinavian journal of trauma, resuscitation and emergency medicine
|January 29, 2025
概括
危急病患者的医院间转移是安全的,无论转移时间或距离. 调整后,ICU停留时间和转移类型等因素并没有显著增加30天死亡风险.
科学领域:
- 临界护理医学 临界护理医学
- 患者转移安全 患者转移安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 危急病患者的医院间转移具有固有的风险.
- 转移时间,距离和理由等因素可能会影响患者的结果.
- 了解这些因素对于改善转移期间的患者安全至关重要.
研究的目的:
- 调查间接转移因子和30天死亡率之间的关联.
- 为了确定与重症监护病房之间的患者转移相关的特定风险.
主要方法:
- 来自瑞典重症监护登记处 (2015-2019) 数据的分析.
- 利用后勤回归来分析患者转移的风险.
- 包括诸如ICU几天,转移类型和接受ICU严重性得分等变量.
主要成果:
- 在4327名患者中,22%的患者在移植后30天内死亡.
- 无变量分析显示了ICU停留,容量转移和30天死亡率之间的关联.
- 然而,多变量回归在调整了诊断和ICU死亡率后,取消了这些关联.
结论:
- 医院间的转移似乎是安全的,无论一天中的时间或距离.
- 该研究表明,基于这些因素,目前的转移做法不会显著提高死亡风险.
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