• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
Effects of a major structural change to the intensive care unit on the quality and outcome after intensive care.重症监护病房的重大结构变革对重症监护后的质量及预后的影响。
Qual Saf Health Care. 2005 Aug;14(4):270-2. doi: 10.1136/qshc.2004.013540.
2
Changes in intensive care from 1987 to 1997 - has outcome improved? A single centre study.1987年至1997年重症监护的变化——结果是否有所改善？一项单中心研究。
Intensive Care Med. 2002 Aug;28(8):1110-6. doi: 10.1007/s00134-002-1378-3. Epub 2002 Jul 6.
3
Mortality and length-of-stay outcomes, 1993-2003, in the binational Australian and New Zealand intensive care adult patient database.1993年至2003年，澳大利亚和新西兰成人重症监护患者双边数据库中的死亡率和住院时间结果。
Crit Care Med. 2008 Jan;36(1):46-61. doi: 10.1097/01.CCM.0000295313.08084.58.
4
Readmission to surgical intensive care increases severity-adjusted patient mortality.再次入住外科重症监护病房会增加经病情严重程度调整后的患者死亡率。
J Trauma. 2006 May;60(5):1027-31. doi: 10.1097/01.ta.0000218217.42861.b7.
5
Evaluation of single intensive care unit performance by simplified acute physiology score II system.采用简化急性生理学评分II系统评估单个重症监护病房的绩效
Croat Med J. 2005 Dec;46(6):964-9.
6
Mortality rates under the care of junior and senior surgery residents in a surgical intensive care unit/neurologic intensive care unit: a 5-year retrospective cohort study at Taoyuan Armed Forces General Hospital.外科重症监护病房/神经重症监护病房中初级和高级外科住院医师护理下的死亡率：在桃园三军总医院进行的一项为期5年的回顾性队列研究。
J Crit Care. 2008 Dec;23(4):550-5. doi: 10.1016/j.jcrc.2008.03.039. Epub 2008 Jul 21.
7
Mortality after discharge from the intensive care unit during the early weekend period: a population-based cohort study in Denmark.重症监护病房出院后早期周末时段的死亡率：丹麦一项基于人群的队列研究
Acta Anaesthesiol Scand. 2007 Oct;51(9):1225-30. doi: 10.1111/j.1399-6576.2007.01431.x.
8
[Mortality surveillance in an intensive care unit].[重症监护病房的死亡率监测]
Tidsskr Nor Laegeforen. 2008 Nov 20;128(22):2567-9.
9
Case mix, outcome and activity for patients admitted to intensive care units requiring chronic renal dialysis: a secondary analysis of the ICNARC Case Mix Programme Database.入住需要慢性肾透析的重症监护病房患者的病例组合、结局及医疗活动：ICNARC病例组合项目数据库的二次分析
Crit Care. 2007;11(2):R50. doi: 10.1186/cc5785.
10
Long-term survival and quality of life of patients with prolonged postoperative intensive care unit stay: unmasking an apparent success.术后重症监护病房住院时间延长患者的长期生存及生活质量：揭示表面上的成功。
J Thorac Cardiovasc Surg. 2007 Aug;134(2):465-9. doi: 10.1016/j.jtcvs.2007.04.028.

引用本文的文献

1
Quality assessment of adult intensive care services: application of a tool adjusted to the reality of low-income countries.成人重症监护服务的质量评估：一种适应低收入国家实际情况的工具的应用
Rev Bras Ter Intensiva. 2019 May 30;31(2):138-146. doi: 10.5935/0103-507X.20190031.
2
Effects of a multifaceted intervention QI program to improve ICU performance.一项多方面干预质量改进计划对改善重症监护病房（ICU）绩效的影响。
BMC Health Serv Res. 2018 Nov 7;18(1):838. doi: 10.1186/s12913-018-3648-y.
3
Intensive care organisation: Should there be a separate intensive care unit for critically injured patients?重症监护组织：重伤患者是否应有独立的重症监护病房？
World J Crit Care Med. 2015 Aug 4;4(3):240-3. doi: 10.5492/wjccm.v4.i3.240.
4
Intensive care unit environment may affect the course of delirium.重症监护病房的环境可能会影响谵妄的病程。
Intensive Care Med. 2013 Mar;39(3):481-8. doi: 10.1007/s00134-012-2726-6. Epub 2012 Oct 24.
5
It makes a difference!这很重要！
Wien Klin Wochenschr. 2008;120(19-20):581-2. doi: 10.1007/s00508-008-1082-6.
6
Impact of introducing multiple evidence-based clinical practice protocols in a medical intensive care unit: a retrospective cohort study.在医疗重症监护病房引入多种循证临床实践方案的影响：一项回顾性队列研究。
BMC Emerg Med. 2007 Aug 8;7:10. doi: 10.1186/1471-227X-7-10.

本文引用的文献

1
Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review.重症患者的医生人员配置模式与临床结局：一项系统综述。
JAMA. 2002 Nov 6;288(17):2151-62. doi: 10.1001/jama.288.17.2151.
2
Effect of a scoring system and protocol for sedation on duration of patients' need for ventilator support in a surgical intensive care unit.评分系统及镇静方案对外科重症监护病房患者呼吸机支持需求持续时间的影响。
BMJ. 2002 Jun 8;324(7350):1386-9. doi: 10.1136/bmj.324.7350.1386.
3
Postoperative complications: does intensive care unit staff nursing make a difference?术后并发症：重症监护病房的医护人员护理会有不同吗？
Heart Lung. 2002 May-Jun;31(3):219-28. doi: 10.1067/mhl.2002.122838.
4
Use of cumulative mortality data in patients with acute myocardial infarction for early detection of variation in clinical practice: observational study.利用急性心肌梗死患者的累积死亡率数据早期发现临床实践中的差异：观察性研究。
BMJ. 2001 Aug 11;323(7308):324-7. doi: 10.1136/bmj.323.7308.324.
5
Risk-adjusted monitoring of binary surgical outcomes.
Med Decis Making. 2001 May-Jun;21(3):163-9. doi: 10.1177/0272989X0102100301.
6
Hospital mortality in relation to staff workload: a 4-year study in an adult intensive-care unit.医院死亡率与医护人员工作量的关系：在一家成人重症监护病房进行的为期4年的研究。
Lancet. 2000 Jul 15;356(9225):185-9. doi: 10.1016/s0140-6736(00)02478-8.
7
Errors in the intensive care unit (ICU). Experiences with an anonymous registration.重症监护病房（ICU）中的差错。匿名登记的经验。
Acta Anaesthesiol Scand. 1999 Jul;43(6):614-7. doi: 10.1034/j.1399-6576.1999.430604.x.
8
A "closed" medical intensive care unit (MICU) improves resource utilization when compared with an "open" MICU.与“开放式”医学重症监护病房（MICU）相比，“封闭式”MICU能提高资源利用率。
Am J Respir Crit Care Med. 1998 May;157(5 Pt 1):1468-73. doi: 10.1164/ajrccm.157.5.9708039.
9
Nursing staff in intensive care in Europe: the mismatch between planning and practice.欧洲重症监护病房的护理人员：规划与实践之间的差距。
Chest. 1998 Mar;113(3):752-8. doi: 10.1378/chest.113.3.752.
10
Monitoring the results of cardiac surgery by variable life-adjusted display.通过可变寿命调整显示监测心脏手术结果。
Lancet. 1997 Oct 18;350(9085):1128-30. doi: 10.1016/S0140-6736(97)06507-0.

重症监护病房的重大结构变革对重症监护后的质量及预后的影响。

Effects of a major structural change to the intensive care unit on the quality and outcome after intensive care.

作者信息

Flaatten H

机构信息

Intensive Care Unit /KSK, Haukeland University Hospital, N-5021 Bergen, Norway.

出版信息

Qual Saf Health Care. 2005 Aug;14(4):270-2. doi: 10.1136/qshc.2004.013540.

DOI:10.1136/qshc.2004.013540
PMID:16076791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1744062/
Abstract

BACKGROUND

Changes in structure may affect outcome after intensive care in various ways. Both closed (as opposed to open) units and the number of nurses have been shown to affect outcome.

OBJECTIVE

To study the effects of temporarily moving an intensive care unit (ICU) on various indicators of outcome and quality of care.

METHODS

Because of rebuilding, over a period of 8 months our ICU was moved to an adjacent postoperative area. The 12 month periods immediately before and after the rebuilding were chosen as reference periods. Routinely collected data such as length of stay, ventilator time, readmission rate, severity score (SAPS II), and observed mortality were used for comparison.

RESULTS

Using variable life adjusted display (VLAD), an increase in hospital mortality was observed during the 8 month rebuilding period. This was also found using Kaplan-Meier estimates of survival and standardised mortality ratio.

CONCLUSION

Structural change to our ICU was probably the major cause for the observed change in mortality.

摘要

背景

结构变化可能以多种方式影响重症监护后的结果。已表明封闭式（与开放式相对）病房和护士数量会影响结果。

目的

研究重症监护病房（ICU）临时搬迁对各种结果指标和护理质量的影响。

方法

由于重建，我们的ICU在8个月的时间里搬到了相邻的术后区域。重建前后的12个月期间被选为参考期。使用常规收集的数据，如住院时间、呼吸机使用时间、再入院率、严重程度评分（简化急性生理学评分II [SAPS II]）和观察到的死亡率进行比较。

结果

使用可变寿命调整显示（VLAD），在8个月的重建期间观察到医院死亡率增加。使用Kaplan-Meier生存估计和标准化死亡率也发现了这一点。

结论

我们ICU的结构变化可能是观察到的死亡率变化的主要原因。