重新入住外科重症监护室:个性化患者护理的发病率和风险分层
Silvia Ramos1,2, Rafael Ramos Fernández1,2, Raul Sevilla1,2
1Department of Anesthesiology and Critical Care, Gregorio Marañón University Hospital, 28007 Madrid, Spain.
Journal of personalized medicine
|December 24, 2025
概括
无计划的重返手术重症监护室 (UR-SICU) 影响了6.4%的患者,由年龄,恶性病变和妄想驱动. 这些重新入院显著增加了住院和死亡风险.
科学领域:
- 关键护理医学 关键护理医学
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 无计划的重返手术重症监护室 (UR-SICU) 是一个关键的不良事件,对患者的发病率,停留时间和死亡率有重大影响.
- 现有的UR-SICU研究通常基于混合重症监护室 (ICU),限制了其直接适用于外科病人的队列.
研究的目的:
- 确定与UR-SICU相关的独立风险因素.
- 评估UR-SICU对患者结局的影响,包括住院和死亡率.
主要方法:
- 在2021年6月至2022年12月期间,在非心脏手术后入院到外科重症监护室 (SICU) 的成年患者进行了一项回顾性队列研究.
- 收集的数据包括人口统计,并发症,严重程度得分,治疗和并发症. 后勤回归和卡普兰-梅尔生存分析被用来确定预测因素和评估生存率.
主要成果:
- 在1361名患者中,82人 (6.4%) 接受了UR-SICU. UR-SICU的独立预测因素包括年龄较大,活跃的恶性瘤和初始SICU停留期间的妄想.
- 在UR-SICU患者的住院时间显著增加 (46天与13天相比),住院死亡率明显增加 (27.1%与1.48%).
- 在UR-SICU患者中,死亡率的增加持续了6个月和1年.
结论:
- UR-SICU与特定的患者因素有关,并显著恶化患者的结果,包括长时间住院和增加短期和长期死亡率.
- 早期识别高风险患者和实施量身定制的预防策略对于减少可避免的UR-SICU事件至关重要.
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