Bunburaphong P, Riyagoon W, Ramdit W, Werawatganon T, Techapichetvanich K
Department of Anesthesiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 2001 Aug;84(8):1103-8.
To assess length of stay of patients in the surgical intensive care unit (ICU) and to determine risk factors for a long ICU stay.
Review of retrospective data.
University hospital surgical ICU.
Out of a total of 681 admissions to the surgical ICU during a one year period (July 1, 1996 - June 30, 1997), 613 had complete medical data which were analysed.
The frequency distribution was skewed to the right. The median and mode were the same (2 days). 35.89 per cent of the ICU admissions had a long stay (>2 days). Independent risk factors for a long ICU stay in the multivariate logistic regression analysis are increasing age, unstable condition, long weaning time, diuretic therapy and re-operation.
Knowing the length of ICU stay, risk factors for a long ICU stay and how to shorten the ICU stay have potential application in optimizing ICU resource planning and decreasing the health care cost.
评估患者在外科重症监护病房（ICU）的住院时间，并确定ICU长时间住院的危险因素。
回顾性数据研究。
大学医院外科ICU。
在一年期间（1996年7月1日至1997年6月30日），外科ICU共有681例入院患者，其中613例有完整的医疗数据并进行了分析。
频率分布向右偏态。中位数和众数相同（2天）。35.89%的ICU入院患者住院时间较长（>2天）。多因素逻辑回归分析中，ICU长时间住院的独立危险因素包括年龄增长、病情不稳定、撤机时间长、利尿治疗和再次手术。
了解ICU住院时间、ICU长时间住院的危险因素以及如何缩短ICU住院时间，在优化ICU资源规划和降低医疗成本方面具有潜在应用价值。
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