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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 50 - 58 (9page)
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Purpose: Critical care medicine continues to evolve. However, critical care cases require increasing amount of medical resources. Intensive care unit (ICU) mortality significantly impacts the overall efficiency of healthcare resources within a system of limitedmedical resources. This study investigated the factors related to ICU mortality using long-term nationwide cohort data in SouthKorea. Materials and Methods: This retrospective cohort study used data of 14905721 patients who submitted reimbursement claims tothe Korean Health Insurance Service between January 1, 2011 and December 31, 2015. A total of 1498102 patients who were admittedto all ICU types, except neonatal and long-term acute care hospitals, were enrolled. Results: Of the total 1498102 participants, 861397 (57.5%) were male and 636705 (42.5%) were female. The mean age at admissionwas 63.4±18.2 years; most of the subjects were aged over 60 years. During the 5-year period, in-hospital mortality rate was 12.9%. In Cox analysis, both in-hospital and 28-day mortality rates were significantly higher in male patients and those of lower socioeconomicstatus. As age increased and the number of nursing staff decreased, the mortality risk increased significantly by two or threetimes. The mortality risk was lower in patients admitted to an ICU of a tertiary university hospital and an ICU where intensivistsworked. Conclusion: The number of nursing staff and the presence of an intensivist in ICU were associated with the ICU mortality rate. Also, increasing the number of nursing staff and the presence of intensivist might reduce the mortality rate among ICU patients.
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참고문헌 (30)
참고문헌 신청
World Health Organization / Global Health and Aging. NIH Publication no 11-7737; 2011
Gill TM / 2004 / Hospitalization, restricted activity, and the development of disability among older persons / JAMA 292:2115~2124
Dwyer R / 2015 / Unplanned transfer to emergency departments for frail elderly residents of aged care facilities : a review of patient and organizational factors / J Am Med Dir Assoc 16:551~562
Sprung CL / 2012 / The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II : intensive care benefit for the elderly / Crit Care Med 40:132~138
Bagshaw SM / 2009 / Very old patients admitted to intensive care in Australia and New Zealand : a multi-centre cohort analysis / Crit Care 13:R45
Gill TM / 2004 / Hospitalization, restricted activity, and the development of disability among older persons / JAMA 292:2115~2124
Dwyer R / 2015 / Unplanned transfer to emergency departments for frail elderly residents of aged care facilities : a review of patient and organizational factors / J Am Med Dir Assoc 16:551~562
Sprung CL / 2012 / The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II : intensive care benefit for the elderly / Crit Care Med 40:132~138
Bagshaw SM / 2009 / Very old patients admitted to intensive care in Australia and New Zealand : a multi-centre cohort analysis / Crit Care 13:R45
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