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广州某三甲医院重症监护室患者特点的分析

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目的 分析广州某三甲医院重症监护室患者的疾病构成及分布特点,为开展重症监护室的临床工作提供依据.方法 回顾性分析广州某三甲医院重症监护室2021年1月1日—2021年12月31日收治的479例患者的病例资料,包括性别、年龄、入科途径、疾病诊断、入科24h急性生理学与慢性健康状况评分Ⅱ(APACHE Ⅱ)等信息.结果 479例患者中男性290例,女性189例;平均年龄(66.37±16.52)岁;以60~74岁老年组占比最多(35.30%);患者主要来源为普通病房(58.04%);收治病种排在前5位的依次是神经系统、消化系统、呼吸系统、循环系统、肿瘤.479例患者中279例病情好转后转回本院普通病房,88例患者在重症监护室内死亡.在重症监护室死亡患者的APACHE Ⅱ评分高于其他去向的患者,差异有统计学意义(P<0.05).结论 本院重症监护室主要接收老年内科患者;由急诊和专科监护室转入的病患病情严重,预后较差;患者的APACHE Ⅱ评分与其预后状况密切相关.
Characteristics Analysis of Patients in ICU of A Tertiary Hospital in Guangzhou
Objective To analyze disease composition and distribution characteristics of patients in ICU of a tertiary hospital in Guangzhou,and provide a basis for clinical work in ICU.Methods The paper reviewed and analyzed data of 479 patients in intensive care unit of a tertiary hospital in Guangzhou from January 1,2021 to December 31,2021,including gender,age,admission route,disease diagnosis,acute physiology and chronic health status scores Ⅱ(APACHE Ⅱ)within 24 hours of admission,and other information.Results Among 479 patients,there were 290 males and 189 females,with average age of(66.37±16.52),proportion of elderly people aged 60-74 was the highest(35.30%).Main source of patients was the general ward(58.04%).Top 5 diseases were nervous system,digestive system,respiratory system,circulatory system,and tumors.Out of 479 patients,279 were transferred back to general ward of our hospital after condition being improved,and 88 patients died in the intensive care unit.APACHE Ⅱ scores of patients died in the intensive care unit were higher than those with other destinations,difference was statistically significant(P<0.05).Conclusion Majority of patients admitted to the intensive care unit of the hospital are elderly internal medicine patients;those transferred to the emergency and specialized care units have critical conditions and poor prognosis;APACHE Ⅱ scores are correlated with prognosis of patients.

Intensive care unitDisease compositionAPACHE Ⅱ scoresOutcome

张文文、林惠盈、于婷婷

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广州医科大学附属第二医院,广东 广州 510260

重症监护室 疾病构成 APACHEⅡ评分 转归

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(10)