Afzal Maheen, Noor Mawra, Afzal Mohammad Talal, Yaseen Omar
Medicine, Jinnah Hospital, Allama Iqbal Medical College, Lahore, PAK.
Emergency Medicine, United Lincolnshire Hospitals NHS Trust, Lincolnshire, GBR.
Cureus. 2024 Aug 19;16(8):e67236. doi: 10.7759/cureus.67236. eCollection 2024 Aug.
Introduction Prolonged stays in the intensive care unit (ICU) are known to increase the risk of adverse outcomes following severe conditions. This study focuses on the factors affecting ICU length of stay, particularly in Urology and Nephrology patients who require intensive monitoring and specialized care, and their impact on patient outcomes. Methods A descriptive cross-sectional study was conducted with a sample size of 45 patients. Data was collected using a validated closed-ended questionnaire and analyzed with IBM SPSS Statistics for Windows, Version 23.0 (Released 2015; IBM Corp., Armonk, New York, United States). Results The study found positive associations between prolonged ICU stay and several factors, including elevated total bilirubin levels, deranged creatinine, urea, sodium, and calcium levels, as well as abnormal C-reactive protein levels. Higher bilirubin levels and positive blood and culture results were linked to extended ICU stays. Additionally, the use of contrast CT and MRI was associated with longer ICU durations. Conversely, broad-spectrum antibiotics showed a negative association with ICU stay length, while transfusion of blood products was positively associated with longer stays. Conclusion Understanding these factors can help improve the management of ICU patients and enhance outcomes in future cases.
引言 众所周知,在重症监护病房(ICU)长时间停留会增加重症疾病后出现不良结局的风险。本研究聚焦于影响ICU住院时长的因素,尤其是在需要重症监护和专科护理的泌尿外科和肾病科患者中,以及这些因素对患者结局的影响。方法 开展了一项描述性横断面研究,样本量为45例患者。使用经过验证的封闭式问卷收集数据,并采用IBM SPSS Statistics for Windows 23.0版(2015年发布;IBM公司,美国纽约州阿蒙克)进行分析。结果 研究发现ICU停留时间延长与多个因素之间存在正相关,包括总胆红素水平升高、肌酐、尿素、钠和钙水平紊乱,以及C反应蛋白水平异常。较高的胆红素水平以及血培养结果呈阳性与ICU停留时间延长有关。此外,使用对比增强CT和MRI与ICU住院时间延长相关。相反,广谱抗生素与ICU停留时间呈负相关,而输注血液制品与停留时间延长呈正相关。结论 了解这些因素有助于改善ICU患者的管理,并提高未来病例的治疗效果。