Mendsaikhan Naranpurev, Begzjav Tsolmon, Lundeg Ganbold, Dünser Martin W
Intensive Care Department, Intermed Hospital, Ulaanbaatar, Mongolia.
Division of Emergency Medicine and Anesthesia, Health Sciences University of Mongolia, Ulaanbaatar, Mongolia.
Crit Care Res Pract. 2016;2016:8624035. doi: 10.1155/2016/8624035. Epub 2016 Oct 4.
. To evaluate the portion of hospitalized patients dying without prior intensive care unit (ICU) admission and assess whether death could have been prevented by intensive care. . In this prospective, observational, multicenter study, data of adults dying in and outside the ICU in 5 tertiary and 14 secondary hospitals were collected during six months. A group of experts categorized patients dying without prior ICU admission as whether their death was potentially preventable or not. . 617 patients died (72.9% in and 27.1% outside the ICU) during the observation period. In 54/113 patients (32.3%) dying in the hospital without prior ICU admission, death was considered potentially preventable. The highest number of these deaths was seen in patients aged 16-30 years and those who suffered from an infection (83.3%), underwent surgery (58.3%), or sustained trauma (52%). Potentially preventable deaths resulted in a total number of 1,078 years of life lost and 709 productive years of life lost. . Twenty-seven percent of adults dying in Mongolian secondary and tertiary level hospitals do so without prior ICU admission. One-third, mostly young patients suffering from acute reversible conditions, may have potentially been saved by intensive care medicine.
评估未预先入住重症监护病房(ICU)而死亡的住院患者比例,并评估重症监护是否可预防死亡。在这项前瞻性、观察性、多中心研究中,在六个月内收集了5家三级医院和14家二级医院在ICU内及ICU外死亡的成年患者的数据。一组专家将未预先入住ICU而死亡的患者分类为其死亡是否可能可预防。在观察期内,617名患者死亡(72.9%在ICU内,27.1%在ICU外)。在113名未预先入住ICU而在医院死亡的患者中,54名(32.3%)的死亡被认为可能可预防。这些死亡中人数最多的是16至30岁的患者以及那些患有感染(83.3%)、接受手术(58.3%)或遭受创伤(52%)的患者。可能可预防的死亡导致总共1078年的生命损失和709年的生产性生命损失。在蒙古二级和三级医院死亡的成年人中,27%未预先入住ICU。三分之一的患者,大多是患有急性可逆性疾病的年轻患者,可能通过重症监护医学挽救生命。