从重症监护室出院：直接回家还是去病房？入院和出院特征比较。

IF 2.1 Q3 CRITICAL CARE MEDICINE Journal of the Intensive Care Society Pub Date : 2024-09-10 eCollection Date: 2024-11-01 DOI:10.1177/17511437241281171

Hayaka Amada, Patrick Jerred, Joanna Thomas, Peter Adam Turton

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引用次数: 0

摘要

越来越多的患者在接受重症监护后直接出院回家（DDH）。这项单中心研究比较了机械通气后的 DDH 患者与出院到病房（DW）的患者的入院特征、住院时间和出院结果。在161名符合条件的患者中，32.9%为DDH患者，68.1%为DW患者。DDH患者明显更年轻，APACHE II评分更低。他们的通气时间较短，总体住院时间缩短了7天。DDH 患者的身体功能评分（CPAx）明显更高。在再次入院或 90 天死亡率方面没有差异。对某些患者来说，直接出院回家可能是一种安全的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Discharge from the intensive care unit: Straight home or go to ward? A comparison of their admission and discharge characteristics.

More patients are discharged directly to home (DDH) after intensive care admission. This single-centre study compared admission characteristics, length of stay and discharge outcomes of DDH patients after mechanical ventilation, compared to patients discharged to wards (DW). Of 161 eligible patients, 32.9% were DDH and 68.1% were DW. DDH patients were significantly younger with lower APACHE II scores. They were ventilated for a shorter length of time, and overall length of stay was 7 days shorter. Physical function scores (CPAx) were significantly higher in DDH. There were no differences in re-admission or 90-day mortality. In certain patients, discharge direct to home may be a safe option.

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来源期刊

Journal of the Intensive Care Society Nursing-Critical Care Nursing

CiteScore

4.40

自引率

0.00%

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期刊介绍： The Journal of the Intensive Care Society (JICS) is an international, peer-reviewed journal that strives to disseminate clinically and scientifically relevant peer-reviewed research, evaluation, experience and opinion to all staff working in the field of intensive care medicine. Our aim is to inform clinicians on the provision of best practice and provide direction for innovative scientific research in what is one of the broadest and most multi-disciplinary healthcare specialties. While original articles and systematic reviews lie at the heart of the Journal, we also value and recognise the need for opinion articles, case reports and correspondence to guide clinically and scientifically important areas in which conclusive evidence is lacking. The style of the Journal is based on its founding mission statement to ‘instruct, inform and entertain by encompassing the best aspects of both tabloid and broadsheet''.