Weiss Lucien, Graf Christophe, Herrmann François, Salomon Raymonde, Perrenoud Jean-Jacques
Service de médecine interne et de réhabilitation, HUG, 1211 Genève 14.
Rev Med Suisse. 2012 Nov 7;8(361):2133-7.
Population aging has generated an increased demand for acute healthcare services in persons aged over 65, who may represent up to half of all patients treated in intensive care units (ICU). However, the number of available ICU beds is limited. Intermediate care units (IntCU) require less human and technical resources, and may represent an interesting alternative to intensive care in the geriatric population. This article describes a 10-year, single centre experience at a geriatrics IntCU in Geneva. We observed a significant reduction in in-hospital mortality after the creation of the IntCU (2000-2001) compared to the 2 years immediately preceding its inception (1998-1999).
人口老龄化使得65岁以上人群对急性医疗服务的需求增加,这一年龄段的患者在重症监护病房(ICU)接受治疗的人数可能占所有患者的一半。然而,可用的ICU床位数量有限。中间护理单元(IntCU)所需的人力和技术资源较少,对于老年人群体而言,可能是重症监护的一个有吸引力的替代方案。本文介绍了日内瓦一家老年IntCU的10年单中心经验。我们观察到,与IntCU成立前的两年(1998 - 1999年)相比,IntCU成立后(2000 - 2001年)住院死亡率显著降低。