入住重症监护病房后的一年存活率：一项回顾性队列研究。

One-year survival after admission in the intensive care unit: a retrospective cohort study.

机构信息

Hospital San Juan de Dios, Intensive Care Unit - La Serena, Chile.

Universidad Católica del Norte, Faculty of Medicine, Department of Public Health - Coquimbo, Chile.

出版信息

Rev Assoc Med Bras (1992). 2024 Sep 16;70(9):e20240463. doi: 10.1590/1806-9282.20240463. eCollection 2024.

DOI:10.1590/1806-9282.20240463

PMID:39292086

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11404985/

Abstract

INTRODUCTION

Improving survival is the objective of intensive care units. Various factors affect long-term outcomes. The objective was to explore survival and the associated factors 1 year after admission to the intensive care unit.

METHOD

This is an observational, descriptive, and analytical study in a retrospective cohort of adults admitted to an intensive care unit at a regional hospital during the first semester of 2022. Records of 218 patients from an anonymized database were analyzed.

RESULTS

The average age was 61 years, and the average APACHE II score was 15 points (24% expected mortality). Survival 1 year after admission was 57.8%. Factors associated with 1-year survival in the Cox regression model were age and APACHE II. The univariate analysis showed that the cancer was significantly associated with lethality after 1 year (OR 10.55; 95%CI 1.99-55.76).

CONCLUSION

One-year survival after intensive care unit decreases by 16.1%. Factors that significantly reduced survival were old age, severity, and oncologic cause at admission.

摘要

简介

提高生存率是重症监护病房的目标。各种因素会影响长期预后。本研究旨在探讨患者入住重症监护病房 1 年后的生存情况及其相关因素。

方法

这是一项在 2022 年上半年于一家地区医院的重症监护病房进行的观察性、描述性和分析性回顾性队列研究。对一个匿名数据库中的 218 名患者的记录进行了分析。

结果

患者的平均年龄为 61 岁，平均急性生理学与慢性健康状况评分Ⅱ（APACHEⅡ）为 15 分（预计死亡率为 24%）。入住重症监护病房 1 年后的生存率为 57.8%。Cox 回归模型中的预后因素为年龄和 APACHEⅡ。单因素分析显示，癌症与 1 年后的死亡率显著相关（OR 10.55；95%CI 1.99-55.76）。