Incidence of complications in intrahospital transport of critically ill patients - experience in an Austrian university hospital
Incidence of complications in intrahospital transport of critically ill patients - experience in an Austrian university hospital
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DOI：
10.1007/s00508-007-0813-4
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发表时间：
2007-07-01
影响因子：
2.6
通讯作者：
Krenn, Claus G.
中科院分区：
文献类型：
--
作者：
Lahner, Daniel;Nikolic, Ajsa;Krenn, Claus G.
背景在过去的十年中，危重病人的院内转运已经取得了相当大的变化和进步。尽管事实上，院内运输现在被认为是一个延伸的重症监护连续，它仍然构成了风险patient.Materials和MethodsThis前瞻性，观察性研究的目的是确定运输相关的并发症的发生率在医院内运输的改变设置，并确定可能的混杂源增加风险。在八个月的时间内，成人和婴儿从麻醉重症监护病房进行了analysed.ResultsA共226例患者进行了452院内运输。危重事件的总体发生率较低（4.2%），死亡率与院内转运之间没有直接联系。除了已知的危险因素的呼吸支持与呼气末正压和要求的儿茶酚胺支持，必要性院内运输在急性与择期situations.ConclusionsWe的结论是，在医院内运输的危重病人的管理进展，导致并发症的整体减少。然而，一个不可否认的风险仍然存在，特别是在疾病严重性和这种运输的紧迫性方面。
BackgroundDuring the past decade, considerable changes and advances have been made in intrahospital transport of critically ill patients. Despite the fact that intrahospital transport is nowadays regarded an extension of the intensive care continuum, it still poses a risk for the patient.Materials and methodsThis prospective, observational study was designed to determine the occurrence rate of transport-related complications in the altered setting of intrahospital transports and to identify possible confounding sources of increased risk. In an eight-month period, adults and infants from anesthesiologic intensive care units were analyzed.ResultsA total of 226 patients underwent 452 intrahospital transports. The overall rate of critical incidents was low (4.2%) and no direct association between mortality and intrahospital transport was observed. In addition to the known risk factors of ventilatory support with positive end-expiratory pressure and requirement for catecholamine support, the necessity for intrahospital transport in the acute vs. elective situation was found to significantly increase the risk of complications.ConclusionsWe conclude that advances in the management of intrahospital transport of critically ill patients have led to an overall decrease of complications. However, an undeniable risk remains, especially in relation to disease severity and the urgency of such transports.