https://scholars.lib.ntu.edu.tw/handle/123456789/505079
Title: | Definition, risk factors and outcome of prolonged surgical intensive care unit stay | Authors: | Huang Y.C. Huang S.J. JAU-YIH TSAUO Ko W.J. |
Keywords: | DNR; Hospital mortality; Prolonged ICU stay; Risk factors | Issue Date: | 2010 | Publisher: | Australian Society of Anaesthetists | Journal Volume: | 38 | Journal Issue: | 3 | Start page/Pages: | 500-505 | Source: | Anaesthesia and Intensive Care | Abstract: | There is no generally accepted definition for a "prolonged surgical intensive care unit (SICU) stay". The aims of the current study were to: 1) define prolonged SICU stay; 2) identify risk factors of prolonged SICU stay; and 3) identify risk factors of hospital mortality in patients with a prolonged SICU stay. All SICU patients aged >16 years and with an intensive care unit (ICU) stay longer than three days without ICU readmission between 1 January 2004 and 30 November 2006 at the National Taiwan University Hospital were recruited to the study. A total of 2598 patients were recruited. ICU stay >16 days was defined as a prolonged SICU stay since rates of ICU mortality, hospital mortality and mortality one year after ICU discharge remained stationary after ICU stay was >16 days. A multivariate logistic regression model identified factors associated with a prolonged SICU stay, including age more than 70 years old, (odds ratio 1.587, 95% confidence interval 1.246 to 2.022), increasing pre-ICU hospital days (odds ratio 1.009, 95% confidence interval 1.003 to 1.015), admission from emergency (odds ratio 1.925, 95% confidence interval 1.455 to 2.548), use of mechanical circulation support (odds ratio 2.314, 95% confidence interval 1.458 to 3.674) and renal replacement therapy (odds ratio 5.140, 95% confidence interval 3.781 to 6.987). A multivariate logistic regression model identified factors associated with ICU mortality in patients with ICU stay >16 days, including renal replacement therapy (odds ratio 4.780, 95% confidence interval 2.687 to 8.504). An ICU stay >16 days could be used to define prolonged SICU stay when hospital and one-year mortality rates are considered. Prevention of organ failure requiring renal replacement therapy might prove a useful goal to avoid prolonged ICU stay and even hospital mortality. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953019133&doi=10.1177%2f0310057x1003800314&partnerID=40&md5=71e1ce87700c667547361450be870996 https://scholars.lib.ntu.edu.tw/handle/123456789/505079 |
ISSN: | 0310-057X | DOI: | 10.1177/0310057x1003800314 | SDG/Keyword: | adult; article; controlled study; emergency ward; female; hospital discharge; hospital readmission; human; intensive care unit; major clinical study; male; mortality; outcome assessment; renal replacement therapy; risk factor; university hospital |
Appears in Collections: | 物理治療學系所 |
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