Analysis of consumption of medical resources in terms of intensive care unit/hospital stay and severity using Japan Trauma Data Bank
Analysis of consumption of medical resources in terms of intensive care unit/hospital stay and severity using Japan Trauma Data Bank
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使用日本创伤数据库分析重症监护病房/住院时间和严重程度方面的医疗资源消耗
DOI：
10.1002/ams2.185
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发表时间：
2016
影响因子：
1.6
通讯作者：
Jun Oda
中科院分区：
文献类型：
--
作者：
Bo Hou;Kaoru Midorikawa;Yusuke Hiraku;Shinji Oikawa;Ning Ma;Mariko Murata.;Jun Oda
目的分析创伤患者的重症监护室或住院时间，以评估使用日本创伤数据库的医疗资源消耗。方法我们将2004年至2010年期间在日本创伤数据库中登记的60 580例病例按急诊入院的病房进行分类。564例重症监护患者在转院或出院前可转入普通病房; 6,217例转院，9,444例重症监护患者直接出院。重症监护室或住院时间的长短与损伤严重程度评分相关。有5，856例（68%）的非幸存者在入院后3天内死亡。ConclusionBased on the Japan Trauma Data Bank data for many trauma patients，有许多情况下，长期住院≥15天的重症监护患者不能转移到普通病房，谁消耗了重症监护科的医疗资源。
AimWe analyzed the length of intensive care unit or hospital stay of trauma patients to assess the consumption of medical resources using the Japan Trauma Data Bank.MethodsWe classified 60,580 cases registered between 2004 and 2010 in the Japan Trauma Data Bank by hospital ward on emergency admission.ResultsA total of 9,564 intensive care patients could be moved to the general ward before hospital transfer or discharge; 6,217 cases were transferred to another hospital and 9,444 cases were discharged directly from the intensive care unit. The length of intensive care unit or hospital stay correlated with the injury severity score. There were 5,856 patients (68%) from the non‐survivors who died within 3 days of admission.ConclusionBased on the Japan Trauma Data Bank data for many trauma patients, there are numerous cases of long‐term stay ≥15 days in intensive care in patients who could not be transferred to a general ward and who consumed the medical resources in the critical care department.