The Range of Intensive Care Services Today
The Range of Intensive Care Services Today
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当今重症监护服务的范围
DOI：
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发表时间：
1981
期刊：
影响因子：
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通讯作者：
J. Zimmerman
中科院分区：
文献类型：
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作者：
W. Knaus;D. Wagner;E. Draper;D. E. Lawrence;J. Zimmerman
在过去20年中，设有重症监护室（ICU）的医院数量大幅增加。为了发现为越来越多的ICU患者提供的服务，我们研究了一所大学医院内624名连续入院的普通内科ICU患者。我们记录了与集中护理或监测相比，涉及强化治疗的入院和服务的比例。我们发现，近一半（49%）的入院和三分之二（65%）的护理班次，重点是密切护理和观察，而不是强化治疗。在252例入院监测的患者中，216例（86%）在出院前从未需要积极治疗。这216名患者的平均住院时间为2.1天。如果在一所大学医院内的服务和入院分布也在其他机构中发现，这表明ICU服务的很大一部分现在可能是针对监测稳定的非危重病患者。（JAMA 1981;246：2711-2716）
During the past 20 years, there has been a large increase in the number of hospitals with intensive care units (ICUs). To discover what services are provided to the growing number of ICU patients, we studied 624 consecutive admissions to a general surgical-medical ICU within a university hospital. We recorded the proportion of admissions and services involving intensive treatment as opposed to concentrated nursing care or monitoring. We found that for nearly half (49%) of the admissions and during two thirds (65%) of the nursing shifts, the emphasis was on close nursing care and observation, not intensive treatment. Of 252 patients admitted for monitoring, 216 (86%) never required active treatment before discharge. The average length of stay of these 216 patients was 2.1 days. If this distribution of services and admissions within one university hospital is also found at other institutions, it suggests that a substantial portion of ICU services may now be directed at monitoring stable, noncritically ill patients. (JAMA1981;246:2711-2716)