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目的分析近5年重症医学科运行情况及病种分类,探讨ICU管理方向及应该努力的方向。方法采用回顾分析的方法进行分析。结果 2011年~2015年某院ICU共收治2624例患者,经治病例数量年平均增长速度是21%,住院患者中经ICU治疗的患者比例逐年增加(Cochran-Armitage趋势检验Z=6.13,P<0.0001);男性患者数量多于女性;治疗患者平均年龄逐渐降低。5年来的床位使用率为73.70%~87.84%,平均床位使用率为78.86%。对2015年收治患者病种分析,ICU患者涵盖26个MDC中的18个,CMI值高于某院所有患者的CMI。结论根据三级医院主要收治急危重症患者的功能定位,需加强对于ICU的建设,同时重症医学科应加强与临床专科的合作,探索多学科团队协作模式。
Objective To analyze the operation status and classification of major diseases in the past five years, and to explore the direction of ICU management and efforts. Methods The method of retrospective analysis was used to analyze. Results A total of 2624 patients were admitted to ICU from 2011 to 2015. The average annual growth rate of the treated patients was 21%. The proportion of hospitalized patients treated with ICU increased year by year (Cochran-Armitage trend test: Z = 6.13, P < 0.0001). The number of male patients was more than that of female patients. The average age of the treated patients decreased gradually. The occupancy rate of beds in the past five years was 73.70% ~ 87.84%, and the average utilization rate of beds was 78.86%. Analysis of the prevalence of patients admitted to 2015, ICU patients covered 18 of 26 MDC, CMI values higher than all patients in a hospital CMI. Conclusion According to the functional orientation of patients with critical care in tertiary hospitals, it is necessary to strengthen the construction of ICU. At the same time, intensive medical departments should strengthen cooperation with clinical specialties and explore multidisciplinary team cooperation mode.