Jähne J, Neipp M, Niechzial M, Pichlmayr R
Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule Hannover.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1381-3.
In a retrospective study of 62 surgical patients with at least 30 days of intensive care, a hospital mortality rate of 40.3% with a median survival time of 3.7 years for the discharged patients (n = 37) was found. The median gastrointestinal quality of life Index (GLQI) for the surviving patients was 104 points, and overall 56 quality-adjusted life years (QALYs) were obtained, resulting in costs of 68,250 DM per QALY. Although intensive care is one of the most expensive treatment modalities in the health system, economic aspects should not be the cause for withdrawing or withholding intensive therapy.
在一项对62例接受至少30天重症监护的外科患者的回顾性研究中，发现医院死亡率为40.3%，出院患者（n = 37）的中位生存时间为3.7年。存活患者的胃肠道生活质量指数（GLQI）中位数为104分，总共获得了56个质量调整生命年（QALY），每个QALY的成本为68,250德国马克。尽管重症监护是卫生系统中最昂贵的治疗方式之一，但经济因素不应成为停止或拒绝重症治疗的理由。
