Ryan D W, Bayly P J, Weldon O G, Jingree M
General Intensive Therapy Unit, Freeman Hospital, Newcastle upon Tyne, UK.
Anaesthesia. 1997 Mar;52(3):265-70.
All admissions into a six-bedded intensive care unit were audited prospectively over a 2-month period. Data were collected daily and classified according to criteria for intensive care or high-dependency admission. There were 30 planned admissions (72 bed days) following elective major surgery, seven admissions following semi-elective surgery (41 bed days) and 47 emergency admissions (185 bed days). Overall bed occupancy was 89%. Of 366 possible intensive care days, 66 (23%) were occupied by high-dependency patients. Of the planned admissions all but five were discharged within 2 days. There were 39 major complications during the study period requiring life-saving interventions and 16 lesser but significant complications. In 12% of patients discharge was delayed because of the absence of a high-dependency unit. Four patients were transferred to an intensive care unit in another hospital and four patients were discharged prematurely because other patients required urgent admission. Seven patients were refused admission and three patients scheduled for elective operations had their surgery deferred. We estimate that over the study period 22 additional patients could have been cared for if a high-dependency unit existed.
在为期2个月的时间里，对一个有6张床位的重症监护病房的所有入院病例进行了前瞻性审计。每天收集数据，并根据重症监护或高依赖护理入院标准进行分类。有30例计划性入院（72个床日），这些患者是在择期大手术后入院；7例半择期手术后入院（41个床日）；47例急诊入院（185个床日）。总体床位占用率为89%。在366个可能的重症监护日中，有66个（23%）被高依赖护理患者占用。在计划性入院患者中，除5例之外，其他患者均在2天内出院。在研究期间，有39例出现严重并发症，需要进行挽救生命的干预，还有16例并发症程度较轻但也较为严重。12%的患者因没有高依赖护理病房而延迟出院。4例患者被转至另一家医院的重症监护病房，4例患者提前出院，因为其他患者需要紧急入院。7例患者被拒绝入院，3例计划进行择期手术的患者推迟了手术。我们估计，在研究期间，如果设有高依赖护理病房，还可以多护理22例患者。
