Wallis C B, Davies H T, Shearer A J
Department of Anaesthetics, Ninewells Hospital, Dundee, UK.
Anaesthesia. 1997 Jan;52(1):9-14. doi: 10.1111/j.1365-2044.1997.003-az002.x.
The aim of this study was to determine the cause of death of those patients who died on general hospital wards after discharge from an intensive care unit. Of 1700 patients admitted over a 5-year period, 341 (20%) died in intensive care but a further 153 (9%) died on general wards. From data recorded at discharge from intensive care, 54.2% of those who died on the wards were considered at risk of death, 25.5% were expected to die but 20.3% were expected to survive. The main causes of death were pneumonia, hypoxic or structural brain damage, cerebrovascular accident, malignancy, myocardial infarction, renal or multi-organ failure and sepsis. Some of these may have been preventable with further intensive care or improved care on the wards.
本研究的目的是确定那些从重症监护病房出院后在综合医院病房死亡的患者的死因。在5年期间收治的1700例患者中，341例（20%）在重症监护病房死亡，但另有153例（9%）在普通病房死亡。根据重症监护病房出院时记录的数据，在病房死亡的患者中，54.2%被认为有死亡风险，25.5%预计会死亡，但20.3%预计会存活。主要死因包括肺炎、缺氧性或结构性脑损伤、脑血管意外、恶性肿瘤、心肌梗死、肾或多器官衰竭以及败血症。其中一些死因通过进一步的重症监护或改善病房护理可能是可以预防的。
