...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of critical care >The role of transport intervals in outcomes for critically ill patients who are transferred to referral centers.
【24h】

The role of transport intervals in outcomes for critically ill patients who are transferred to referral centers.

机译：运输间隔对转诊至转诊中心的危重患者结局的作用。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

PURPOSE: The aim of this study was to determine the association between transport intervals (including time from call to arrival of transport team at the sending hospital, time spent by the transport team in the sending hospital, and transport time between the sending and receiving hospital) and intensive care unit (ICU) and hospital length of stay and hospital mortality at the receiving hospital. MATERIALS AND METHODS: This was a retrospective, stratified cohort study involving all patients 15 years and older who were transferred from one hospital to another of equal or larger size in British Columbia, Canada, and who spent at least 1 day in an ICU or coronary care unit (CCU) at the receiving hospital during 1999 (n = 1930). Data were obtained from 6 administrative databases and linked using generalized software. RESULTS: After adjustment for age, sex, comorbidity, and diagnostic group, longer time from call to arrival of paramedics at the sending hospital was associated with a shorter length of ICU/CCU stay (rate ratio [RR], 0.91; 95% confidence interval [CI], 0.86-0.97) for survivors and a longer length of hospital (RR, 1.12; 95% CI, 1.05-1.21) and ICU/CCU (RR, 1.14; 95% CI, 1.04-1.25) stay for nonsurvivors in the higher-priority air transport group, and with a slightly shorter length of hospital stay (RR, 0.97; 95% CI, 0.95-0.99) for all patients in the lower-priority air transport group. Longer time spent by paramedics at the sending hospital was associated with a shorter length of hospital stay (RR, 0.79; 95% CI, 0.65-0.96) for survivors in the higher-priority air transport group. Longer time for transport between the sending and receiving hospitals was associated with a longer length of ICU/CCU stay (RR, 1.69; 95% CI, 1.26-2.27) for survivors in the higher-priority air transport group but a slightly shorter length of ICU/CCU stay (RR, 0.97; 95% CI, 0.95-0.99) for all patients in the ground transport group. There were no associations between transport times and hospital mortality. CONCLUSIONS: Transport intervals are independently associated with ICU/CCU and hospital lengths of stay at the receiving hospital for critically ill adults transferred to referral centers.
机译：目的：本研究的目的是确定运输间隔（包括从呼叫到运输队到达派遣医院的时间，运输队在派遣医院花费的时间以及派遣医院与接收医院之间的运输时间之间的关联）和重症监护病房（ICU）以及住院时间和接收医院的医院死亡率。材料与方法：这是一项回顾性分层队列研究，涉及所有15岁及15岁以上的患者，这些患者从加拿大不列颠哥伦比亚省的一家医院转移至另一所规模相同或更大的患者，并且在ICU或冠状动脉中花费至少1天1999年（n = 1930）在接收医院的护理单位（CCU）。数据从6个管理数据库中获得，并使用通用软件进行链接。结果：在调整了年龄，性别，合并症和诊断组之后，从呼叫到护理人员到达送诊医院的较长时间与较短的ICU / CCU住院时间相关（比率[RR]为0.91; 95％的置信度幸存者的时间间隔[CI]为0.86-0.97），非幸存者的住院时间更长（RR，1.12; 95％CI，1.05-1.21）和ICU / CCU（RR，1.14; 95％CI，1.04-1.25）在较高优先级的航空运输组中，所有患者的住院时间略短（RR，0.97; 95％CI，0.95-0.99）。对于优先级较高的航空运输小组中的幸存者，医护人员在送出医院花费的时间更长，住院时间较短（RR，0.79; 95％CI，0.65-0.96）。对于优先级较高的航空运输组中的幸存者，发送和接收医院之间的运输时间较长与ICU / CCU住院时间更长（RR，1.69; 95％CI，1.26-2.27）有关，但住院时间稍短地面运输组所有患者的ICU / CCU停留时间（RR，0.97; 95％CI，0.95-0.99）。运输时间与医院死亡率之间没有关联。结论：运输间隔与重症监护病房转入转诊中心的重症监护病房/重症监护病房和住院时间长短独立相关。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号