Houghton P W, Donaldson L A, Crumplin M K
Ann R Coll Surg Engl. 1984 Jan;66(1):46-8.
The evolution of an intensive care facility in a District General Hospital is recorded. Optimum use of the Unit was achieved by accepting both critically ill and high dependency care patients. This has been of benefit to both the staff and patients and may be reflected in the falling mortality of the critically ill surgical patient. High dependency care patients now only stay 1.3 days and there has been no mortality. In view of the ageing population and the cost of such units, this dual role in the District General Hospital Intensive Care Unit appears justified.
记录了一家区综合医院重症监护设施的发展历程。通过接收危重症患者和高依赖护理患者，该科室实现了最佳利用。这对医护人员和患者都有益处，可能体现在危重症外科患者死亡率的下降上。高依赖护理患者目前仅住院1.3天，且无死亡病例。鉴于人口老龄化以及此类科室的成本，区综合医院重症监护室的这种双重作用似乎是合理的。
