分级转运模式对危重症患者院内转运效果的回顾性研究。
Effectiveness of the graded transport mode for the intrahospital transport of critically ill patients: A retrospective study.
机构信息
Department of Emergency Medicine, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, China.
出版信息
Front Public Health. 2023 Jan 13;10:979238. doi: 10.3389/fpubh.2022.979238. eCollection 2022.
AIM
The purpose of this study was to evaluate the effectiveness of the graded transport mode in the intrahospital transport (IHT) of critically ill patients.
METHODS
This is a retrospective study, including 800 patients and categorized them into control and observation groups. The control group included 420 critically ill patients who were transported conventional methods from our emergency resuscitation unit from June 2017 to December 2017. The observation group included 380 critically ill patients who were transported through a graded transport mode from January 2018 to June 2018. We performed intergroup comparisons of the incidence rates and causes of adverse events (AEs), transport time, length of stay, and mortality rate.
RESULTS
The observation group had significantly lower transport time and AE incidence rates than the control group. However, no significant differences were observed in terms of the length of stay and mortality rate between the two groups.
CONCLUSION
The most notable merits of the graded transport mode in the IHT of critical care patients include the fact that it significantly reduces the incidence of AEs during IHT, shortens the transport time, and improves transport efficiency, thereby ensuring the safety of critically ill patients.
目的
本研究旨在评估分级转运模式在危重症患者院内转运（IHT）中的有效性。
方法
这是一项回顾性研究，共纳入 800 例患者，并将其分为对照组和观察组。对照组包括 420 例危重症患者，他们于 2017 年 6 月至 2017 年 12 月采用常规方法从我院急诊复苏单元转运。观察组包括 380 例危重症患者，他们于 2018 年 1 月至 2018 年 6 月采用分级转运模式转运。我们对两组不良事件（AE）发生率和原因、转运时间、住院时间和死亡率进行了组间比较。
结果
观察组的转运时间和 AE 发生率明显低于对照组，但两组的住院时间和死亡率无显著差异。
结论
分级转运模式在危重症患者 IHT 中最显著的优点是，它显著降低了 IHT 期间 AE 的发生率，缩短了转运时间，提高了转运效率，从而确保了危重症患者的安全。
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