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外科重症监护后的生活质量、发病率和死亡率:对外科重症监护病房中接受腹部脓毒症治疗患者的一项随访研究。

Quality of life, morbidity, and mortality after surgical intensive care: a follow-up study of patients treated for abdominal sepsis in the surgical intensive care unit.

作者信息

Haraldsen Pernille, Andersson Roland

机构信息

Department of Surgery, Lund University Hospital, Lund, Sweden.

出版信息

Eur J Surg Suppl. 2003 Jul(588):23-7.

PMID:15200039
Abstract

OBJECTIVE

To evaluate the long-term outcome of patients treated in the surgical intensive care unit (SICU) for abdominal sepsis.

DESIGN

Retrospective study.

SETTING

University hospital, Sweden.

SUBJECTS

210 consecutive patients treated for abdominal sepsis in the SICU at Lund University Hospital during the period January 1983 to December 1995.

MAIN OUTCOME MEASURES

Background information, morbidity, and mortality. Follow-up of surviving patients with interview and completion of a quality of life (QoL) assessment. Information collected postmortem from the registers of the Swedish National Board of Health and Welfare.

RESULTS

At follow-up, 45 patients of the 151 who survived the initial hospital stay had died, 41 were lost to follow up and 16 chose not to participate in the study; 49 patients completed the study. Median QoL scores were significantly impaired (p < 0.01) although subjective QoL did not change significantly. In-hospital mortality was 28% (59/210) and total mortality over the time period 50% (104/210).

CONCLUSION

Most patients who survived after treatment of abdominal sepsis in the SICU regained good health and their functional status was restored. Subjective QoL remained unchanged.

摘要

目的

评估在外科重症监护病房(SICU)接受治疗的腹部脓毒症患者的长期预后。

设计

回顾性研究。

地点

瑞典的大学医院。

研究对象

1983年1月至1995年12月期间在隆德大学医院SICU接受腹部脓毒症治疗的210例连续患者。

主要观察指标

背景信息、发病率和死亡率。对存活患者进行随访,包括访谈和完成生活质量(QoL)评估。从瑞典国家卫生和福利委员会的登记册中收集死后信息。

结果

在随访时,151例初次住院存活的患者中有45例死亡,41例失访,16例选择不参与研究;49例患者完成了研究。生活质量评分中位数显著受损(p < 0.01),尽管主观生活质量没有显著变化。住院死亡率为28%(59/210),该时间段内的总死亡率为50%(104/210)。

结论

大多数在SICU接受腹部脓毒症治疗后存活的患者恢复了良好的健康状况,其功能状态得到恢复。主观生活质量保持不变。

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