Identification of low-risk monitor patients within a medical-surgical intensive care unit.
Identification of low-risk monitor patients within a medical-surgical intensive care unit.
复制标题
识别内外科重症监护病房内的低风险监测患者。
DOI：
10.1097/00005650-198304000-00005
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发表时间：
1983
期刊：
影响因子：
3
通讯作者：
Zimmerman,JE
中科院分区：
文献类型：
--
作者：
Wagner,DP;Knaus,WA;Draper,EA;Zimmerman,JE
我们研究了1148例连续重症监护室（ICU）入院的住院过程，以验证识别适合早期转院的患者的可行性。根据每位入院患者在ICU最初16小时内接受的治疗类型，我们将患者分为积极治疗组和监护组。使用年龄、性别、入院指征和新的疾病严重程度量表等变量，对513名监测入院患者中哪些在出院前接受了积极治疗进行多变量logistic回归分析。识别低风险监测患者的最重要变量是疾病严重程度测量，该测量在估计和验证数据集中都表现良好。在接受监测的513名入院患者中，有154人预测需要积极强化治疗的风险低于5%。只有5人实际接受了这种治疗。这种方法可能有助于减少对重症监护日益增长的需求。
We studied the hospital course of 1148 consecutive intensive care unit (ICU) admissions to test the feasibility of identifying patients suitable for early transfer. Based on the type of treatment each admission received during the initial 16 hours in ICU, we divided the patients into active treatment or monitored categories. Which of the 513 monitored admissions received active treatment before discharge was analyzed with a multivariate logistic regression analysis, using variables such as age, sex, indication for admission, and a new severity-of-illness scale. The most important variable in identifying low-risk monitored patients was the severity of illness measure, which performed well in both estimation and validation data sets. Within the 513 monitored admissions, 154 had predicted risks of requiring active intensive therapy of less than 5 per cent. Only five persons actually received such treatment. This approach might assist in reducing the ever-increasing demand for intensive care.