鏡湖醫院非預期重返ICU原因分析

Analysis of unplanned intensive care unit readmissions in kiangwu hospital

劉承章(LIU Cheng Zhang)；李達濱(LI Da Bin)

重癥監護病房 ； 非預期重返率 ； 重返原因 ； Intensive Care Unit ； Unplanned intensive care unit readmissions rate ； The causes of readmission

鏡湖醫學

21卷1期（2021 / 06 / 01）

33 - 34

繁體中文;英文

目的：探討重癥患者48小時非預期重返監護病房（ICU）原因。方法：收集2014年1月～2018年12月重返ICU患者的重返原因。結果：從ICU轉到普通病房患者2411例，非預期重返36例，重返率1.49%，呼吸衰竭是重返的最常見原因（50%），其次是心力衰竭（25%），顱內出血及消化道出血（8.3%），心跳驟停（5.6%）。結論：加強呼吸、心臟功能的監測及管理，及早發現及處理病情變化，是減少患者重返ICU的重要措施。

Objective: To study the causes of patients with unplanned intensive care unit (ICU) readmissions within 48 hours. Methods: This retrospective study investigated the causes of patients with unplanned ICU readmission within 48 hours between 2014 and 2018. Results: A total of 2411 cases were transferred out of the ICU and 36 cases were readmitted to ICU. Respiratory failure was the most common cause of ICU readmission (50%), followed by heart failure (25%), intracranial hemorrhage (8.3%), gastrointestinal bleeding (8.3%), cardiac arrest (5.6%). Conclusion: Close monitoring and management of respiratory and cardiac functions, early detection and intervention the patient's condition can reduced the incidence of unplanned ICU readmissions rate.