The Use Of Intensive Care: A Comparison Of A University And Community Hospital
The Use Of Intensive Care: A Comparison Of A University And Community Hospital
复制标题
重症监护的使用：大学医院和社区医院的比较
作者：
E. Draper;D. Wagner;W. Knaus
我们使用旨在量化疾病严重程度的新临床量表，对社区医院 (CH) 的 223 例连续重症监护病房 (ICU) 入院病例与大学医院 (UH) 的 613 例连续入院病例进行了比较。两个 ICU 拥有相似的技术资源和治疗能力。然而，在 CH，患者更常入院进行监测，而不是接受治疗，在大多数诊断类别中，UH 入院患者的病情急性严重程度 (p<.001) 明显高于 CH 患者。这些发现表明，两家医院对 ICU 的使用情况存在显着差异，CH 收治了更多病情稳定的患者。这项研究还表明，通过定量测量疾病严重程度可以改善对 ICU 使用情况的评估。
We compared 223 consecutive intensive care unit (ICU) admissions to a community hospital (CH) with 613 such admissions at a university hospital (UH) using a new clinical scale aimed at quantifying severity of illness. Both ICU's had similar technical resources and treatment capabilities. At the CH, however, patients were more often admitted for monitoring rather than for treatment of UH admissions had a substantially greater acute severity of illness (p<.001) than CH patients in most diagnostic categories. These findings suggest that use of the ICU was substantially different in the two hospitals, with the CH admitting many more stable patients. This study also suggests that evaluation of ICU use is improved by quantitative measurement of severity of illness.