Abdalrahman Ihab B, Elgenaid Shaima N, Babiker Ahmed Mohammed Alhadi
Department of Internal Medicine, Faculty of Medicine, University of Khartoum, Sudan.
Department of Critical Care, Soba University Hospital, Khartoum, Sudan.
Int J Crit Illn Inj Sci. 2021 Jan-Mar;11(1):9-13. doi: 10.4103/IJCIIS.IJCIIS_8_20. Epub 2021 Mar 27.
The shortage of specialized intensive care beds is one of the principal factors that limit intensive care unit (ICU) admissions. This study explores the utilization of priority criteria in directing ICU admission and predicting outcomes.
This was a prospective cross-sectional study conducted in two ICUs in Sudan from April to December 2018. Patients were assessed for ICU admission and were ranked by priority into Groups 1, 2, 3, and 4 (1 highest priority and 4 lowest priority), and these groups were compared using independent -test, Chi-square, and ANOVA.
A total of 180 ICU admitted patients were enrolled, 53% were male. The prioritization categories showed that 86 (47.8%), 50 (27.8%), 13 (7.2%), and 31 (17.2%) were categorized as priority 1, 2, 3, and 4, respectively. Patients in priority groups 3 and 4had significantly higher ICU mortality rates compared to those in groups 1 and 2 ( < 0.001), were likely to be older ( < 0.001), had significantly more comorbidities ( = 0.001), were more likely to be dependent ( < 0.001), and had longer ICU length of stay ( = 0.028).
Patients classified as priority 3 and 4 were predominantly older and had many comorbidities. They were likely to be dependent, stay longer in ICU, and exhibit mortality.
专科重症监护病床短缺是限制重症监护病房（ICU）收治患者的主要因素之一。本研究探讨在指导ICU收治及预测预后方面优先标准的应用情况。
这是一项前瞻性横断面研究，于2018年4月至12月在苏丹的两个ICU进行。对患者进行ICU收治评估，并按优先级分为1、2、3和4组（1组优先级最高，4组优先级最低），采用独立样本t检验、卡方检验和方差分析对这些组进行比较。
共纳入180例入住ICU的患者，其中53%为男性。优先级分类显示，分别有86例（47.8%）、50例（27.8%）、13例（7.2%）和31例（17.2%）被分类为优先级1、2、3和4。与1组和2组患者相比，3组和4组患者的ICU死亡率显著更高（P<0.001），年龄可能更大（P<0.001），合并症显著更多（P = 0.001），更可能存在依赖（P<0.001），且ICU住院时间更长（P = 0.028）。
被分类为优先级3和4的患者主要为老年人且合并症较多。他们可能存在依赖，在ICU停留时间更长，且死亡率较高。
