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首页> 外文期刊>International Journal of General Medicine >Outcome of patients admitted during off hours in Moroccan intensive care unit
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Outcome of patients admitted during off hours in Moroccan intensive care unit

机译：摩洛哥重症监护室下班时间收治的患者结果

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Background: The first few hours after intensive care unit (ICU) admission, where a patient's condition is stabilized and treatment plans are formulated, are crucial to patient outcome. Although admission of patients who are unstable to ICU occurs 24 hours a day, not all units maintain the same level of staffing during off hours. We evaluated whether ICU admission during off hours affects mortality in a Moroccan ICU with the same level of staffing. Methods: This prospective study was carried out at an ICU in a Moroccan hospital during 6 months. Demographic, clinic, acute physiology and chronic health evaluation score, length of stay, time of admission (day time or off hours), and ICU mortality data were collected. The mortality in the ICU was the end point of the study. Logistic regression analysis was used to identify risk factors associated with ICU mortality at various day and time of admission. Results: A total of 195 patients were included in the study; 125 (63.6%) were admitted during the day time and 70 (36.4%) were admitted during off hours. Most of the patients admitted during the off hours were male (75% versus 58% during the day time, P=0.01). Patients admitted in off hours after traumatism were more frequent than those admitted during the day time (64% versus 24%, P=0.001). There was no significant difference in ICU mortality for time of ICU admission (P=0.05). Conclusion: We can conclude that off hours care is not necessarily inadequate. For ICU managers, it is important to know how to maintain adequate quality of care around the clock.
机译：背景：重症监护病房（ICU）入院后的最初几个小时对患者的病情至关重要，患者的病情稳定并制定了治疗计划。尽管对ICU不稳定的患者每天24小时入院，但并非所有单位在下班时间都保持相同水平的人员配备。我们评估了在工作时间相同的情况下，非工作时间入住ICU是否会影响摩洛哥ICU的死亡率。方法：这项前瞻性研究是在摩洛哥一家医院的ICU中进行的，为期6个月。收集人口统计学，临床，急性生理和慢性健康评估得分，住院时间，入院时间（白天或下班时间）以及ICU死亡率数据。 ICU中的死亡率是研究的终点。 Logistic回归分析用于确定入院不同日期和时间与ICU死亡率相关的危险因素。结果：总共195名患者被纳入研究。白天录取了125（63.6％），下班时间录取了70（36.4％）。在非工作时间入院的大多数患者均为男性（75％对比白天的58％，P = 0.01）。创伤后在非工作时间入院的患者比白天入院的患者更为频繁（64％对24％，P = 0.001）。 ICU入院时ICU死亡率无显着差异（P = 0.05）。结论：我们可以得出结论，非工作时间护理不一定是不足的。对于ICU经理来说，重要的是要知道如何全天候保持适当的护理质量。

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