Universidade Tiradentes, Aracaju, SE, Brazil.
Universidade Federal de Sergipe, São Cristovão, SE, Brazil.
Einstein (Sao Paulo). 2023 Oct 9;21:eAO0406. doi: 10.31744/einstein_journal/2023AO0406. eCollection 2023.
Teixeira et al. showed that patients admitted to the intensive care unit of a teaching hospital in a non-metropolitan region needed more support, had worse prognostic indices, and had a higher nursing workload in the first 24 hours of admission. In addition, worse outcomes, including mortality, need for dialysis, pressure injury, infection, prolonged mechanical ventilation, and prolonged hospital stay, were observed in the teaching hospital. Worse outcomes were more prevalent in the teaching hospital. Understanding the importance of teaching hospitals to implement well-established care protocols is critical.
To compare the clinical outcomes of patients admitted to the intensive care unit of teaching (HI) and nonteaching (without an academic affiliation; H2) hospitals.
In this prospective cohort study, adult patients hospitalized between August 2018 and July 2019, with a minimum length of stay of 24 hours in the intensive care unit, were included. Patients with no essential information in their medical records to evaluate the study outcomes were excluded. Resuslts: Overall, 219 patients participated in this study. The clinical and demographic characteristics of patients in H1 and H2 were similar. The most prevalent clinical outcomes were death, need for dialysis, pressure injury, length of hospital stay, mechanical ventilation >48 hours, and infection, all of which were more prevalent in the teaching hospital.
Worse outcomes were more prevalent in the teaching hospital. There was no difference between the institutions concerning the survival rate of patients as a function of length of hospital stay; however, a difference was observed in intensive care unit admissions.
比较教学（HI）和非教学（无学术隶属关系；H2）医院重症监护病房收治患者的临床结局。
在这项前瞻性队列研究中，纳入了 2018 年 8 月至 2019 年 7 月期间住院且 ICU 住院时间至少 24 小时的成年患者。排除了病历中没有评估研究结局所需的重要信息的患者。结果：共有 219 名患者参与了这项研究。H1 和 H2 患者的临床和人口统计学特征相似。最常见的临床结局是死亡、需要透析、压疮、住院时间延长、机械通气>48 小时和感染，这些结局在教学医院更为常见。
教学医院的预后更差。两所机构的患者生存率与住院时间之间没有差异，但 ICU 收治率存在差异。
