A comparison of intensive care in the U.S.A. and France.
A comparison of intensive care in the U.S.A. and France.
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美国和法国重症监护的比较。
DOI：
10.1016/s0140-6736(82)92748-9
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发表时间：
1982
期刊：
影响因子：
--
通讯作者：
Zimmerman,JE
中科院分区：
文献类型：
--
作者：
Knaus,WA;LeGall,JR;Wagner,DP;Draper,EA;Loirat,P;Campos,RA;Cullen,DJ;Kohles,MK;Glaser,P;Granthil,C;Mercier,P;Nicolas,F;Nikki,P;Shin,B;Snyder,JV;Wattel,F;Zimmerman,JE
通过一个标准的病情严重程度分类系统，对5家美国和7家法国三级护理医院的1260名重症监护病房(ICU)的急诊入院者进行了调查。住进法国ICU的586名患者比美国的674名患者年轻得多，更多的患者是从另一家医院转来的，他们在ICU的停留时间是美国的两倍。虽然实际死亡率、病情严重程度和治疗量都非常相似，但接受观察和监测的法国患者比美国患者少。侵入性监测在法国患者中的使用比在美国患者中要少。如果法国患者在美国接受治疗，他们的预期死亡率与ICU入院最常见的三个指征(心血管、呼吸和神经器官系统衰竭)的观察死亡率相似，但低于法国胃肠道患者的观察死亡率。这些结果表明，未来在不同诊断小组内进行的国际研究将为目前在治疗危重患者中常用的许多服务的价值提供洞察力。
1260 emergency admissions to the intensive-care units (ICUs) of five U.S.A. and seven French tertiary-care hospitals were surveyed by means of a standard severity-of-illness classification system. The 586 patients admitted to French ICUs were significantly younger than the 674 U.S.A. patients, more had been transferred from another hospital, and they remained in the ICU twice as long. Although actual death rates, severity of illness, and the amount of treatment were extremely similar, fewer French than U.S.A. patients were admitted for observation and monitoring. Invasive monitoring was used less in French patients than in U.S.A. patients. The mortality predicted for French patients if they had been treated in the U.S.A. was similar to the observed mortality in the three most frequent indications for ICU admission (cardiovascular, respiratory, and neurological organ-system failure) but was lower than the observed death rate for French gastrointestinal patients. These results suggest that future international studies within separate diagnostic groups would provide insights into the value of many services now commonly used in the treatment of acutely ill patients.