[外周医院重症监护病房外科患者护理质量的测量]
[Measurement of the quality of care for surgical patients in an intensive care unit in a peripheral hospital].
作者信息
van der Hoeven J G, Steup W H, Valentijn R M, Breslau P J
机构信息
Afd. Interne Geneeskunde, Rode Kruis Ziekenhuis, Den Haag.
出版信息
Ned Tijdschr Geneeskd. 1991 Aug 3;135(31):1407-10.
OBJECTIVE
To determine the quality of care in an intensive care unit.
DESIGN
Prospective investigation for one year. Comparison with results from the literature.
SETTING
Surgical intensive care unit of a community hospital.
PATIENTS
Measurement of the APACHE-II-score was performed on days 1, 3 and 7 in all surgical intensive care unit patients admitted during a one-year period. The predicted mortality from the literature was compared with the actual mortality in our hospital.
RESULTS
A total of 301 patients were admitted to the intensive care unit. Overall mortality was 9%. All the patients with an APACHE II score above 25 on admission died. The actual mortality was comparable with the predicted mortality from the literature.
CONCLUSION
The APACHE II score can be used to determine the quality of care in an intensive care unit. Early prediction of a bad prognosis makes transportation to a more specialized hospital possible, before irreversible organ damage develops.
目的
确定重症监护病房的护理质量。
设计
为期一年的前瞻性调查。与文献结果进行比较。
地点
一家社区医院的外科重症监护病房。
患者
对一年内入住外科重症监护病房的所有患者在第1、3和7天进行急性生理与慢性健康状况评分系统（APACHE-II）评分测定。将文献中的预测死亡率与我院的实际死亡率进行比较。
结果
共有301例患者入住重症监护病房。总体死亡率为9%。所有入院时急性生理与慢性健康状况评分系统（APACHE II）得分高于25分的患者均死亡。实际死亡率与文献中的预测死亡率相当。
结论
急性生理与慢性健康状况评分系统（APACHE II）得分可用于确定重症监护病房的护理质量。对不良预后的早期预测使得在不可逆器官损伤发生之前将患者转送至更专业的医院成为可能。
Zotero 插件