评估 FAST HUG 的实施对医院重症监护室(ICU)住院病人死亡率和住院时间的影响

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Journal of Contemporary Medical Sciences Pub Date : 2023-12-26 DOI:10.22317/jcms.v9i6.1341
Mehran Kouchek, Behnam Arabzadeh, Navid Nooraei, Mansour Fathi, Mirmohamad Miri
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引用次数: 0

摘要

目的我们旨在确定新版 FAST HUG 的实施对医院重症监护室(ICU)住院患者死亡率和住院时间的影响。方法:我们对 2022 年 7 月 1 日至 2022 年 9 月 30 日入住伊朗德黑兰省伊玛目侯赛因医院内科和外科重症监护室的 406 名患者进行了前瞻性队列研究。我们通过逻辑回归模型确定了 ICU 死亡率的预测因素,通过广义有序对数模型确定了 28 天死亡率/再住院/康复的预测因素,通过线性回归确定了住院时间(LOS)的预测因素,通过广义有序对数确定了机械通气的预测因素,通过障碍模型确定了 SOFA 评分的预测因素。结果 :该记忆法对 28 天死亡率有保护作用(OR=0.56-p-值=0.01)。FAST HUG评分平均值增加一个单位对死亡结果有预防作用(OR=0.21)。手术入院类型(系数=-3.24,p 值=0.00)和 FAST HUG 实施情况(系数=1.58,p 值=0.0)是影响 LOS 的最强因素。结论我们的研究结果表明,实施 FAST HUG 对降低重症监护室和出院后 28 天内的患者死亡率非常重要。此外,该核对表对降低重症监护室患者的 SOFA 评分也有显著的统计学作用。
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Evaluation of the FAST HUG implementation effect on the mortality and length of stay in admitted patient in Intensive Care Unit (ICU) of a hospital
Objective: We aimed to determine new version of  the FAST HUG implementation effect on the mortality and length of stay in admitted patient in Intensive Care Unit (ICU) of a hospital. Methods: we conducted a prospective cohort study on 406 patients who admitted in medical and surgical ICU of Imam Hossein Hospital of Tehran province in Iran from July 1, 2022, to September 30, 2022. We identified predictors of ICU mortality by logistic regression model, predictors of 28-day mortality/re-hospitalization/recovery by generalized ordered logit model, predictors of length of stay (LOS) by linear regression, predictors of mechanical ventilation by generalized ordered logit and predictors of SOFA score by hurdle model. Result :This mnemonic had protective impact (OR=0.56-p-value=0.01) on the 28-day mortality. One unit increase in mean of FAST HUG score had a preventive effect on the outcome of death (OR=0.21). Surgical admission type (Coefficient =-3.24, p-value= 0.00) and FAST HUG implementation (Coefficient =1.58, p-value= 0.0) were strongest factors on the LOS. Conclusion: Our study results approved the importance of the FAST HUG implementation on the decrease of patient mortality in ICU and 28 days after discharge. Additionally, this checklist had a statistically significant role in declining SOFA scores in ICU patients.
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Journal of Contemporary Medical Sciences
Journal of Contemporary Medical Sciences MEDICINE, GENERAL & INTERNAL-
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