Intensive care unit admission has minimal impact on long-term mortality

被引：51

作者：

Keenan, SP

Dodek, P

Chan, K

Hogg, RS

Craib, KJP

Anis, AH

Spinelli, JJ

机构：

[1] St Pauls Hosp, Ctr Hlth Evaluat & Outcome Sci, Vancouver, BC V6Z 1Y6, Canada

[2] St Pauls Hosp, Program Crit Care Med, Vancouver, BC V6Z 1Y6, Canada

[3] St Pauls Hosp, Dept Med, Vancouver, BC V6Z 1Y6, Canada

[4] Univ British Columbia, Vancouver, BC V5Z 1M9, Canada

[5] St Pauls Hosp, British Columbia Ctr Excellence HIV AIDS, Vancouver, BC V6Z 1Y6, Canada

[6] Univ British Columbia, Dept Hlth Care & Epidemiol, Vancouver, BC V5Z 1M9, Canada

[7] Royal Columbian Hosp, Dept Med, New Westminster, BC, Canada

来源：

CRITICAL CARE MEDICINE | 2002年 / 30卷 / 03期

关键词：

intensive care units; critical care; outcome assessment (health care);

D O I：

10.1097/00003246-200203000-00002

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To measure the association between intensive care unit (ICU) admission and both hospital and long-term mortality, separate from the effect of hospital admission alone. Design: Retrospective cohort study. Setting. All hospitals in British Columbia, Canada, during 3 fiscal years, 1994 to 1996. Patients., A total of 27,103 patients admitted to ICU and 41,308 (5% random sample) patients admitted to hospital but not to ICU. Intervention: None. Measurements and Main Results. Although ICU admission was an important factor associated with hospital mortality (odds ratio: 9.12; 95% confidence interval: 8.34-9.96), the association between ICU admission and mortality after discharge was relatively minimal (hazard ratio. 1.21; 95% confidence interval: 1.17-1.27) and was completely overshadowed by the effect of age, gender, and diagnosis. Conclusions. After controlling for the effect of hospital admission, admission to ICU has minimal independent effect on mortality after discharge.

引用

页码：501 / 507

页数：7

共 33 条

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