Reynell P C
Br Med J. 1969 May 24;2(5655):502-3. doi: 10.1136/bmj.2.5655.502.
A five-bedded coronary care unit has been set up within a general medical ward without the provision of extra medical or nursing staff. During 30 months 1,000 patients were admitted. Sixty-three developed cardiac arrest; 28 were resuscitated successfully initially; and 18 were eventually discharged. The corresponding figures for the 28 patients with ventricular fibrillation treated by direct current defibrillation were 20 and 12 respectively. The mortality rate during the first three days (the usual length of stay in the unit) was 8.9% compared with 9.7% after transfer to the general ward. It is suggested that these results are comparable with those from more highly staffed purpose-built units.
在普通内科病房内设立了一个有五张床位的冠心病监护病房,且没有额外配备医护人员。在30个月期间,收治了1000名患者。63人发生心脏骤停;最初28人成功复苏;最终18人出院。接受直流电除颤治疗的28例室颤患者的相应数字分别为20人和12人。前三天(该病房通常的住院时长)的死亡率为8.9%,转至普通病房后的死亡率为9.7%。结果表明,这些结果与人员配备更充足的专门建造的病房的结果相当。