Davies M G, Connolly J A, O'Kane G, Murphy K, McDowell C, Shine M F, Lennon F
Department of Surgery, International Missionary Training Hospital Our Lady of Lourdes, Drogheda.
Ir Med J. 1993 Jan;86(1):10-2.
The International Missionary Training Hospital is a 340-bed acute general hospital with maternity and paediatric units. It serves a population of 120,000 people within the North Eastern Health Board Area and has approximately 14,000 admissions each year. This report retrospectively reviews the activity of a three bedded, Intensive Therapy Unit (ITU) over the three year period July 1987-June 1990. 805 patients (1.9% of hospital admissions) with an average age of 55 +/- 22 years (mean +/- SD, range 14-94 years) were admitted to the unit. There were 458 males (57%) and 347 females (43%). 68% of the patients were admitted from the general wards and the remainder from the accident unit. 59% of the admissions were immediate postoperative cases. 82% of patients had APACHE scores less than 20. There was a wide diversity of medical and surgical diagnoses requiring treatment. 219 cases required one or more systems to be supported and 586 (73%) were admitted as high dependency cases. For those requiring ventilation, the average ventilation time was 3.2 days (range 0.5-23 days). The average length of stay within in the unit was 2.3 days (range 1-23 days). 86% of the patients were discharged to the wards, 11% died and 3% were transferred to external specialist care facilities. ITU's in district general hospitals serve as both critical care areas and high dependency units. In our opinion they produce a positive contribution to progressive patient care for high risk medical and surgical patients.
国际传教士培训医院是一家拥有340张床位的急症综合医院，设有产科和儿科病房。它服务于东北卫生局辖区内的12万人口，每年约有14000例住院病例。本报告回顾性分析了1987年7月至1990年6月这三年间一个拥有三张床位的重症治疗病房（ITU）的情况。该病房共收治了805例患者（占医院住院病例的1.9%），平均年龄为55±22岁（均值±标准差，范围14 - 94岁）。其中男性458例（57%），女性347例（43%）。68%的患者来自普通病房，其余来自急诊室。59%的住院患者为术后即时入院病例。82%的患者急性生理与慢性健康状况评分（APACHE）低于20分。需要治疗的医学和外科诊断种类繁多。219例患者需要一个或多个系统的支持，586例（73%）以高依赖病例收治。对于需要通气的患者，平均通气时间为3.2天（范围0.5 - 23天）。在该病房的平均住院时间为2.3天（范围1 - 23天）。86%的患者出院返回病房，11%死亡，3%转至外部专科护理机构。地区综合医院的重症治疗病房既是重症监护区域，也是高依赖病房。我们认为，它们对高危医学和外科患者的渐进性患者护理做出了积极贡献。
