接受有限治疗的重症监护患者的1年结局：一项双中心观察性研究。
1-year outcomes of patients admitted to critical care with treatment limitations: A dual-centre observational study.
作者信息
Yakubi Masseh, Devlin Annie, Venn Richard, Hodgson Luke
机构信息
Intensive Care Department, Worthing Hospital, University Sussex Hospitals NHS Foundation Trust, Worthing, UK.
Department of Clinical and Experimental Medicine, University of Surrey Faculty of Health and Medical Sciences, Guildford, UK.
出版信息
J Intensive Care Soc. 2023 Aug;24(3):338-340. doi: 10.1177/17511437221108900. Epub 2022 Jun 16.
Intensivists are increasingly involved in the care of frail patients as our population ages. Careful person-orientated, individualised decision-making, weighing benefits and harms of critical care are required in such situations. Few studies have reported outcomes of patients with treatment limitations. This dual-centre observational study reports outcomes of 3781 patients (2018-20). At least one treatment limitation was set at admission in 13% ( = 486). Of this group 55% survived to hospital discharge, of whom 69% were discharged home; 39% remained alive at 1 year. These findings provide objective data to support clinicians, patients and relatives in shared decision-making. Future multi-centre work could explore how best to identify those most likely to benefit from critical care.
随着人口老龄化，重症监护医生越来越多地参与到体弱患者的护理中。在这种情况下，需要进行谨慎的以人为本、个性化的决策，权衡重症监护的利弊。很少有研究报告有治疗限制患者的结局。这项双中心观察性研究报告了3781例患者（2018 - 20年）的结局。13%（n = 486）的患者在入院时至少设定了一项治疗限制。在这组患者中，55%存活至出院，其中69%出院回家；39%在1年后仍存活。这些发现为临床医生、患者和亲属在共同决策中提供了客观数据。未来的多中心研究可以探索如何最好地识别那些最有可能从重症监护中获益的患者。
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