重症监护的使用：一所大学医院与社区医院的比较。

Draper E A, Wagner D P, Knaus W A

Health Care Financ Rev. 1981 Dec;3(2):49-64.

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 less than .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.

我们使用一种旨在量化疾病严重程度的新临床量表，将一家社区医院（CH）连续收治的223名重症监护病房（ICU）患者与一家大学医院（UH）收治的613名此类患者进行了比较。两家ICU的技术资源和治疗能力相似。然而，在CH，患者更多是为了监测而入院，而非治疗。在大多数诊断类别中，UH收治患者的急性疾病严重程度明显高于CH患者（p小于0.001）。这些发现表明，两家医院ICU的使用情况存在显著差异，CH收治了更多病情稳定的患者。这项研究还表明，通过对疾病严重程度进行定量测量，可以改进对ICU使用情况的评估。