血管:是否需要在ICU住院? 一个单一的机构评估评估
Madeleine Brill-Edwards1, W Chase Hamilton2, Erika J Yoo3
1Eastern Virginia Medical School, Norfolk, VA, USA.
概括
大多数血管患者不需要进入重症监护室 (ICU) 进行呼吸道监测. 在呈现时不需要输管的患者可以在ICU外安全管理,优化资源配置.
科学领域:
- 紧急医疗 紧急医疗
- 临界护理医学 临界护理医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 血管带来了快速气道损害的风险,往往导致重症监护室 (ICU) 的入院"气道监视".
- 缺乏证据来指导血管患者需要接受ICU治疗的必要性.
研究的目的:
- 描述一个学术中心的血管的入院模式和结果.
- 评估资源利用率和对血管的ICU护理的必要性.
- 为了测试这个假设,非输入管的血管患者可以在重症监护室之外安全地管理.
主要方法:
- 从2017年到2020年,对从2017年到2020年因血管而入院的患者 (ICD-10代码) 的回顾性图表审查.
- 收集的数据包括人口统计,病因,入院地点,护理水平,停留时间,输管状态和治疗方法.
- 统计分析包括对逗留时间进行比较的t测试.
主要成果:
- 在入院的117名血管患者中,有50人被送往重症监护室.
- 最常见的病因是使用ACE抑制剂,20名患者需要输管,主要是在ICU之外.
- 与输入管患者相比,非输入管患者在ICU和医院的住院时间明显较短.
结论:
- 大多数血管发病例不需要立即干预呼吸道.
- 血管的气道干预通常发生在ICU入院之前.
- 对于在初步评估时不需要输管治疗的血管患者,ICU资源可能是不必要的.
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