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怀卡托医院重症监护病房的三百例入院病例——两年后的生存率、成本及生活质量

Three hundred admissions to the Waikato Hospital intensive therapy unit--survival, costs, and quality of life after two years.

作者信息

Havill J H, Walker L, Sceats J E

机构信息

Intensive Therapy Unit, Waikato Hospital, Hamilton.

出版信息

N Z Med J. 1989 Apr 26;102(866):179-81.

PMID:2710446
Abstract

Three hundred consecutive admissions 13 years of age and above who entered the Waikato Hospital intensive therapy unit, were followed up after two years. Their degree of illness was similar to that in other intensive care units. At two years, 26% of the patients were dead. Maori admissions and death rates more than doubled those of the nonMaori. Once admitted, the proportion dying was identical in both groups. The average stay in ITU was 6.3 days. The average stay in hospital including ITU, was 28 days. One hundred and fifty-nine people (168 admissions) were traced and questioned about their quality of life. Seventy-four percent had a good quality, 19% were affected, and 7% had a severely affected quality of life. Preliminary estimates of cost suggest that the average ITU cost per patient is about $9500, and the average total hospital cost for any patient entering ITU is about $20,000.

摘要

对连续300名13岁及以上进入怀卡托医院重症监护病房的患者进行了为期两年的随访。他们的病情严重程度与其他重症监护病房的患者相似。两年后,26%的患者死亡。毛利族患者的入院率和死亡率是非毛利族患者的两倍多。一旦入院,两组的死亡比例相同。在重症监护病房的平均住院时间为6.3天。包括重症监护病房在内的平均住院时间为28天。对159人(168次入院)进行了追踪,并询问了他们的生活质量。74%的人生活质量良好,19%的人受到影响,7%的人生活质量严重受影响。初步成本估计表明,每位患者在重症监护病房的平均费用约为9500美元,任何进入重症监护病房的患者的平均总住院费用约为20000美元。

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Long-term survival from intensive care: a review.重症监护的长期生存:综述
Intensive Care Med. 2005 Oct;31(10):1306-15. doi: 10.1007/s00134-005-2744-8. Epub 2005 Aug 24.