Johns Tracy J
Medical Center of Central Georgia, Macon, Georgia.
J Trauma Nurs. 2014 Jan-Feb;21(1):14-21. doi: 10.1097/JTN.0000000000000023.
There is little evidence about the characteristics and outcomes of unplanned intensive care unit (ICU) readmission for adult trauma patients. This retrospective study examined the characteristics, risks factors, and outcomes for trauma patients with and without ICU readmission. With 5 years of data, 1117 patients met inclusion criteria for the study. Patient characteristics for readmission included increased age and diabetes, while identified risk factors included increased time between injury and ICU admission, admission from surgery or outside hospital, higher Injury Severity Score, along with glucose, albumin, and lower Glasgow Coma Scale values on the day of ICU discharge.
关于成年创伤患者非计划性重症监护病房(ICU)再入院的特征和结局,几乎没有相关证据。这项回顾性研究调查了有或没有ICU再入院的创伤患者的特征、风险因素及结局。利用5年的数据,1117名患者符合该研究的纳入标准。再入院患者的特征包括年龄增加和患有糖尿病,而确定的风险因素包括受伤至入住ICU的时间增加、从外科手术或院外转入、损伤严重程度评分较高,以及ICU出院当天的血糖、白蛋白水平和较低的格拉斯哥昏迷量表值。