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再入重症监护室的相关危险因素分析

居旻杰 贺黉裕 屠国伟 马杰飞 宣丽珍 郑毅隽 刘玉静 罗哲

中国临床医学Issue(1):69-72,4.
中国临床医学Issue(1):69-72,4.

再入重症监护室的相关危险因素分析

Analysis of Risk Factors Related to Intensive Care Unit Readmission

居旻杰 1贺黉裕 1屠国伟 1马杰飞 1宣丽珍 1郑毅隽 1刘玉静 2罗哲1

作者信息

  • 1. 复旦大学附属中山医院重症医学科,上海 200032
  • 2. 复旦大学附属中山医院护理部,上海 200032
  • 折叠

摘要

Abstract

Objective:To investigate the risk factors related to intensive care unit (ICU) readmission .Methods :A total of 2491 patients who had been transferred into Department of Critical Care Medicine of Zhongshan Hospital ,Fudan University from Nov 2008 to Dec 2011 were included .Clinical data of all the patients during their first admission to ICU were collected .All the patients were classified into non‐readmission group(Group A) and readmission group(Group B) on the basis of whether there was readmission to ICU .All the patients’ treatments were conducted under supervision of attending intensivist and in accordance with routine treatment of Department of Critical Care Medicine and related clinical guidelines .Logistic regression was performed in multivariate analyses of ICU readmission .Results:If the first admission to ICU was due to emergency ,then the chance of ICU readmission was raised(HR=4 .929 ,95% CI:1 .936‐12 .549 ,P<0 .01) .If patient underwent tracheotomy during the first ICU stay ,then the chance of ICU readmission increased (HR= 3 .395 ,95% CI:1 .622‐7 .107 , P< 0 .01) . Conclusions :Both the admission to ICU under emergency and the tracheotomy during the first ICU admission are independent risk factors for ICU readmission .

关键词

再入重症监护室/危险因素

Key words

Readmission intensive care unit/Risk factors

分类

医药卫生

引用本文复制引用

居旻杰,贺黉裕,屠国伟,马杰飞,宣丽珍,郑毅隽,刘玉静,罗哲..再入重症监护室的相关危险因素分析[J].中国临床医学,2015,(1):69-72,4.

中国临床医学

OACSTPCD

1008-6358

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