COMPLICATIONS OF CARE IN A MEDICAL INTENSIVE-CARE UNIT

被引：29

作者：

RUBINS, HB

MOSKOWITZ, MA

机构：

[1] Section of General Internal Medicine, Department of Medicine, Boston VA Medical Center, Boston, 02130, MA

[2] the Section of General Internal Medicine and Health Care Research Unit, Evans Memorial Department of Clinical Research and the Department of Medicine, Boston University Medical Center, Boston, Massachusetts

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1990年 / 5卷 / 02期

关键词：

critical care; iatrogenic disease; intensive care units;

D O I：

10.1007/BF02600508

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective:To determine the frequency and nature of complications of care in the medical intensive care unit (MICU). Design:Prospective, observational study. Setting:Seven-bed MICU in a teaching and referral VA hospital. Patients:295 consecutive patients admitted to the MICU during a ten-month study period. Interventions:None. Measurements and main results:Forty-two patients (14%, 95% confidence interval 13%, 16%) experienced one or more complications during their MICU stays. Compared with other MICU patients, those experiencing complications tended to be older (mean age ± SD: 63.6±10.1 years vs 59.3±14.0 years, p<0.02) and more acutely ill (mean Acute Physiology Score ± SD: 18.3±8.0 vs 12.5±8.0, p=0.0001). These patients also had significantly longer MICU lengths of stay (mean ± SD: 12.3±14.7 days vs 3.1±4 days, p<0.0001) and higher hospital mortality rates (67% vs 27%, p<0.001). The 67% mortality rate among patients with complications significantly exceeded the expected mortality rate of 46% (calculated from the APACHE risk equation). Conclusion:Complications of care in the MICU are not rare and may independently contribute to in-hospital mortality. The potential for complications must be recognized when considering ICU care. © 1990 the Society of General Internal Medicine.

引用

页码：104 / 109

页数：6

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