The importance of technology for achieving superior outcomes from intensive care. Brazil APACHE III Study Group.
The importance of technology for achieving superior outcomes from intensive care. Brazil APACHE III Study Group.
复制标题
技术对于实现重症监护的卓越结果的重要性。
DOI：
10.1007/bf01709743
复制
发表时间：
1996
影响因子：
38.9
通讯作者：
Wagner,DP
中科院分区：
文献类型：
--
作者：
Bastos,PG;Knaus,WA;Zimmerman,JE;MagalhãesJr,A;Sun,X;Wagner,DP
目的验证重症监护病房（ICU）的技术可用性、人员配备和诊断多样性与降低医院死亡率相关的假设。设计前瞻性多中心描述性队列研究。设置10个巴西内科外科icu。1734例连续入ICU的成人患者。测量和结果我们记录了每个ICU的技术数量、诊断数量和护士的可用性。我们还使用每个ICU平均173例入院患者的人口统计学、临床和生理学信息来计算每个ICU的标准化死亡率（SMRs）。10个icu的平均SMR为1.67（1.01 ~ 2.30）。ICU设备和服务的可用性越高，SMR越低（p<0.001）。结论巴西icu降低医院死亡率的能力与这些单位可获得的技术数量有关。
ObjectiveTo test the hypothesis that technology availability, staffing, and diagnostic diversity in an intensive care unit (ICU) are associated with the ability to decrease hospital mortality.DesignProspective multicenter descriptive cohort study.SettingTen Brazilian medical-surgical ICUs.Patients1734 consecutive adult ICU admissions.Measurements and resultsWe recorded t the amount of technology, number of diagnoses, and availability of nurses at each ICU. We also used demographic, clinical and physiologic information for an average of 173 admissions to each ICU to calculate standardized mortality ratios (SMRs) for each ICU. The mean SMR for the ten ICUs was 1.67 (range 1.01–2.30). A greater availability of ICU equipment and services was significantly (p<0.001) associated with a lower SMR.ConclusionThe ability of Brazilian ICUs to reduce hospital mortality is associated with the amount of technology available in these units.