从麻醉重症监护室延迟出院的危险因素:单中心回顾性研究
Yue Qian1,2, Jing Hao1,2, Wei Zhu1,2
1Department of Anesthesiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, 321 Zhong Shan Road, Nanjing, 210008, Jiangsu, P.R. China.
从麻醉重症监护室 (AICU) 延迟出院影响1.54%的患者. 风险因素包括年龄,ASA状态,BMI,手术类型和血液损失,预测性名谱显示出出色的表现.
科学领域:
- 关键护理医学 关键护理医学
- 麻醉学 麻醉学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 从麻醉重症监护室 (AICU) 延迟出院可能会影响患者的治疗结果和资源利用.
- 识别风险因素对于改善患者流动和护理管理至关重要.
研究的目的:
- 调查与AICU延迟出院相关的风险因素.
- 开发和验证延迟AICU释放的预测模型.
主要方法:
- 在2017年1月至2022年12月期间,对14338名入院到AICU的患者进行了回顾性研究.
- 二元多变量逻辑回归分析以确定风险因素.
- 使用ROC和校准曲线构建和验证名ogram,并进行决策曲线分析.
主要成果:
- 延迟AICU退院的发生率为1.54%.
- 确定的危险因素包括年轻/年长的年龄,ASA身体状况III-IV,异常的BMI,手术前并发症,紧急手术和手术内大量出血.
- 脊柱手术的延迟放出比例最高;手术后出血是主要原因.
结论:
- 延迟的AICU退院受患者的人口统计学,并发症,手术因素和手术内事件的影响.
- 一个开发的诺莫格拉姆模型在预测延迟的AICU出院方面表现出色.
- 这些发现可以帮助主动管理和对高风险患者的资源分配.
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