摘要
目的探究急诊重症监护病房患者发生院内死亡的相关因素,为护理工作提供指导。方法选取某院2017年1月1日-2021年5月31日收入急诊重症监护病房治疗的339例患者作为研究对象,根据患者是否发生院内死亡将患者分为生存组274例及死亡组65例,回顾分析患者临床资料,使用SPSS20.0对数据进行统计描述和分析,使用卡方检验和非参数检验进行单因素分析,多元分析采用Logistic回归,并绘制ROC曲线。结果在339例病例中男性195人(57.52%),女性144人(42.48%),共有65例患者发生院内死亡,死亡率为19.17%,对两组患者基本资料进行单因素分析,其中住院天数、NEWS评分、入院时ADL评分及入院24小时内发生抢救是EICU患者发生院内死亡的影响因素(P<0.05)。多因素Logistic回归显示,年龄、入院时ADL评分、NEWS评分及入院24小时内发生抢救是患者发生院内死亡的独立因素。结论在老年患者中,过低的ADL评分、入院时NEWS评分增高以及入院24小时内发生抢救的患者,其发生院内死亡的风险增大。在收治此类患者时,护士应着重分配工作重点,对患者进行有效的护理观察,合理分配工作重点,以降低患者院内死亡的发生。
Objectives To explore the related factors of in-hospital death in patients in emergency intensive care unit,and provide guidance for nursing work.Methods 339 patients admitted to the emergency intensive care unit from January 2017 to May 2021 were selected as the research object.According to whether the patients died in hospital,the patients were divided into survival group of 274 cases and death group of 65 cases.The clinical data of the patients were retrospectively analyzed,and the data were statistically described and analyzed by spss200.Results Among 339 cases,195 were male(57.52%)and 144 were female(42.48%).A total of 65 patients died in hospital,and the mortality was 19.17%.The basic data of the two groups were analyzed by univariate analysis.Among them,the length of hospitalization,news score,ADL score at admission and rescue within 24 hours after admission were the influencing factors of in-hospital death in EICU patients(P<0.05).Multivariate logistic regression showed that age,ADL score at admission,news score and rescue within 24 hours were independent factors of in-hospital death.
作者
管亚妹
安莹
马子凤
Guan Yamei;An Ying;Ma Zifeng(Department of Emergency,Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing 100730,China;不详)
出处
《中国病案》
2022年第10期52-55,共4页
Chinese Medical Record
基金
首都医科大学附属北京同仁医院院内种子基金资助项目(2019-YJJ-ZZL-047)。
关键词
急诊重症监护病房
院内死亡
多元回归分析
Emergency intensive care unit
In-hospital death
Multiple regression analysis
