澳大利亚治疗功能衰竭的成人的重症监护入院:一项全国性回顾性队列研究
Dominic Keuskamp1,2, Christopher E Davies1,2, Paul J Secombe3,4,5
1Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia.
概括
在澳大利亚,接受置换疗法 (KRT) 的成年人患重症监护病房 (ICU) 住院率明显较高. 长期透析患者的相对风险最高,突出显示需要风险降低策略.
科学领域:
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學.
- 流行病学 流行病学
背景情况:
- 关于澳大利亚接受替代疗法 (KRT) 的成年人进入重症监护室 (ICU) 的数据有限.
- 描述这些入院情况对于了解患者负担和医疗保健资源利用情况至关重要.
研究的目的:
- 描述澳大利亚接受长期透析和脏移植患者的ICU入院情况.
- 将这些入院率与一般重症监护人群进行比较.
主要方法:
- 根据澳大利亚ICU (2018-2020) 的数据进行了回顾性基于注册表的数据链接队列研究.
- 澳大利亚和新西兰重症监护协会成年患者数据库与澳大利亚和新西兰透析和移植 (ANZDATA) 注册表联系起来.
- 分析了根据人口统计,入院类型,诊断和KRT年鉴的子组.
主要成果:
- 长期透析 (0.6%的入院患者) 和移植患者 (0.3%) 的急症监护室入院率明显较高.
- 与非KRT队列相比,长期透析患者的相对入院率为10.18,与糖尿病,败血症和心血管/呼吸系统诊断有关.
- 在较年轻的年龄组和特定的医学诊断中观察到相对风险增加.
结论:
- 长期透析或脏移植患者的ICU入院率远高于一般人群.
- 这些发现强调了患者和医疗保健服务的重大负担.
- 探索减轻这种高风险的策略是有必要的.
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