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目的通过完善重症患者评估体系降低重症患者48小时内非预期重返重症医学科率。方法通过数据平台调取2015年-2016年完善评估体系前、后一年各重症医学科患者48小时内重返重症数、患者死亡人数及住院天数,采用卡方检验和t检验对数据进行分析。结果完善评估体系后CCU、ICU、EICU、RICU 4个重症医学科48小时内患者重返重症医学科率较未完善前显著下降,差异有统计学意义(P<0.05);与完善评估体系前比较,NICU、ICU患者平均住院日有所延长,RICU、感染重症患者平均住院日有所缩短,差异均有统计学意义(P<0.05);CCU、ICU、EICU、RICU患者病死率均较未完善前有所下降,差异均有统计学意义(P<0.05)。结论通过完善重症患者评估体系可以降低患者重返重症医学科率和患者病死率,保障患者安全。
Objective To improve the evaluation system of critically ill patients to reduce the critical patients within 48 hours of unexpected return to critical medical subjects. Methods The datasets were used to retrieve the number of critically ill patients, the number of deaths and the days of hospitalization within 48 hours of each major medical department within the first year after completing the assessment system from 2015 to 2016. The data were analyzed by chi-square test and t-test . Results After the evaluation system was completed, the rates of patients returning to the critical medical subjects within 4 hours of 4 major ICUs of ICU, ICU, EICU and RICU decreased significantly compared with those before they were not improved (P <0.05) The average hospitalization days in NICU and ICU patients were longer than those in ICU patients and those in RICU patients and those with severe infections were shorter than those in ICU patients (P <0.05). The mortality rates in patients with CCU, ICU, EICU and RICU were significantly lower than those without Perfection before the decline, the differences were statistically significant (P <0.05). Conclusion By improving the evaluation system of critically ill patients can reduce the patient return to critical medical subjects and patient mortality rates to protect patient safety.