在尼泊尔西部的第三级护理中心的重症监护病房自然死亡率的模式:一项观察性研究
Chetan Bohara1, Arun Rimal2, Parshal Bhandari1
1Department of Anaesthesia and Critical Care, Lumbini Medical College, Palpa, Nepal.
JNMA; journal of the Nepal Medical Association
|March 5, 2026
概括
尼泊尔的高密集护理单位 (ICU) 死亡率与特定的并发病和季节性模式有关. 男性患者占大多数死亡人数,特别是自然死亡人数,突出了针对性干预的领域.
科学领域:
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 密切护理单位 (ICU) 对重症患者至关重要,但高死亡率仍然存在,特别是在资源有限的环境中.
- 尼泊尔在管理ICU死亡率方面面临挑战,需要对当地模式和风险因素进行研究.
研究的目的:
- 描述尼泊尔西部第三级护理医院ICU中的死亡率模式和临床特征.
- 调查ICU死亡率的基于性别的差异和相关的并发症.
主要方法:
- 在尼泊尔卢宾尼医学院教学医院进行了一项基于记录的回顾性研究,持续了一年 (2024年).
- 分析了82例死亡病例的数据,包括人口统计,临床参数,并发病症和实验室发现.
主要成果:
- 在374例ICU入院病例中,82例 (21.93%) 导致死亡,男性占54.88%.
- 死亡率显示8月至11月的季节性聚类. 糖尿病患者的年龄 (中位数为72岁) 比非糖尿病患者 (中位数为57.5岁) 高.
结论:
- 西尼泊尔的ICU死亡率表现为季节性聚类,不成比例地影响男性.
- 糖尿病等并发症与在ICU环境中死亡的年龄较大有关.
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