限制生命支持的相关因素:一家三级医院重症监护室后死亡病例研究。

U.A. López González , D. Bautista Rentero , M. Crespo Gómez , P. Cárcamo Ibarra , A.M. Míguez Santiyán
{"title":"限制生命支持的相关因素:一家三级医院重症监护室后死亡病例研究。","authors":"U.A. López González ,&nbsp;D. Bautista Rentero ,&nbsp;M. Crespo Gómez ,&nbsp;P. Cárcamo Ibarra ,&nbsp;A.M. Míguez Santiyán","doi":"10.1016/j.redare.2024.02.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Life-sustaining treatment limitation (LSV) is the medical act of withdrawing or not initiating measures that are considered futile in a patient's specific situation. LSV in critically ill patients remains a difficult topic to study, due to the multitude of factors that condition it.</p></div><div><h3>Objective</h3><p>To determine factors related to LSV in ICU in cases of post-ICU in-hospital mortality, as well as factors associated with survival after discharge from ICU.</p></div><div><h3>Design</h3><p>Retrospective longitudinal study.</p></div><div><h3>Ambit</h3><p>Intensive care unit of a tertiary hospital.</p></div><div><h3>Patients</h3><p>People who died in the hospitalization ward after ICU treatment between January 2014 and December 2019.</p></div><div><h3>Interventions</h3><p>None. This is an observational study.</p></div><div><h3>Variables of interest</h3><p>Age, sex, probability of death, type of admission, LSV in ICU, oncological disease, dependence, invasive mechanical ventilation, emergency hemodialysis, transfusion of blood products, nosocomial infection (NI), pre-ICU, intra-ICU and post-ICU stays.</p></div><div><h3>Results</h3><p>Of 114 patients who died outside the ICU, 49 had LSV registered in the ICU (42.98%). Age and stay prior to ICU admission were positively associated with LSV (OR 1,03 and 1,08, respectively). Patients without LSV had a higher post-ICU stay, while it was lower for male patients.</p></div><div><h3>Conclusions</h3><p>Our results support that LSV established within the ICU can avoid complications commonly associated with unnecessary prolongation of stay, such as NI.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors associated with limitation of life support: Post-ICU mortality case study of a tertiary hospital\",\"authors\":\"U.A. López González ,&nbsp;D. Bautista Rentero ,&nbsp;M. Crespo Gómez ,&nbsp;P. Cárcamo Ibarra ,&nbsp;A.M. Míguez Santiyán\",\"doi\":\"10.1016/j.redare.2024.02.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Life-sustaining treatment limitation (LSV) is the medical act of withdrawing or not initiating measures that are considered futile in a patient's specific situation. LSV in critically ill patients remains a difficult topic to study, due to the multitude of factors that condition it.</p></div><div><h3>Objective</h3><p>To determine factors related to LSV in ICU in cases of post-ICU in-hospital mortality, as well as factors associated with survival after discharge from ICU.</p></div><div><h3>Design</h3><p>Retrospective longitudinal study.</p></div><div><h3>Ambit</h3><p>Intensive care unit of a tertiary hospital.</p></div><div><h3>Patients</h3><p>People who died in the hospitalization ward after ICU treatment between January 2014 and December 2019.</p></div><div><h3>Interventions</h3><p>None. This is an observational study.</p></div><div><h3>Variables of interest</h3><p>Age, sex, probability of death, type of admission, LSV in ICU, oncological disease, dependence, invasive mechanical ventilation, emergency hemodialysis, transfusion of blood products, nosocomial infection (NI), pre-ICU, intra-ICU and post-ICU stays.</p></div><div><h3>Results</h3><p>Of 114 patients who died outside the ICU, 49 had LSV registered in the ICU (42.98%). Age and stay prior to ICU admission were positively associated with LSV (OR 1,03 and 1,08, respectively). Patients without LSV had a higher post-ICU stay, while it was lower for male patients.</p></div><div><h3>Conclusions</h3><p>Our results support that LSV established within the ICU can avoid complications commonly associated with unnecessary prolongation of stay, such as NI.</p></div>\",\"PeriodicalId\":94196,\"journal\":{\"name\":\"Revista espanola de anestesiologia y reanimacion\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista espanola de anestesiologia y reanimacion\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2341192924000271\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista espanola de anestesiologia y reanimacion","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2341192924000271","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

背景:限制维持生命治疗(LSV)是指根据患者的具体情况,撤销或不启动被认为是无效的措施的医疗行为。由于影响重症患者生命维持治疗的因素众多,因此生命维持治疗限制仍是一个难以研究的课题:确定与重症监护室住院后死亡病例中 LSV 相关的因素,以及与重症监护室出院后存活率相关的因素:设计:回顾性纵向研究:范围:一家三甲医院的重症监护室:干预措施:无:无。本研究为观察性研究:年龄、性别、死亡概率、入院类型、ICU内LSV、肿瘤疾病、依赖性、有创机械通气、紧急血液透析、输注血制品、院内感染(NI)、ICU前、ICU内和ICU后住院时间:结果:114名在重症监护室外死亡的患者中,49名在重症监护室内登记有LSV(42.98%)。入住重症监护室前的年龄和住院时间与 LSV 呈正相关(OR 分别为 1.03 和 1.08)。没有LSV的患者在ICU后的住院时间较长,而男性患者的住院时间较短:我们的研究结果表明,在重症监护室内建立 LSV 可以避免不必要的住院时间延长等常见并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors associated with limitation of life support: Post-ICU mortality case study of a tertiary hospital

Background

Life-sustaining treatment limitation (LSV) is the medical act of withdrawing or not initiating measures that are considered futile in a patient's specific situation. LSV in critically ill patients remains a difficult topic to study, due to the multitude of factors that condition it.

Objective

To determine factors related to LSV in ICU in cases of post-ICU in-hospital mortality, as well as factors associated with survival after discharge from ICU.

Design

Retrospective longitudinal study.

Ambit

Intensive care unit of a tertiary hospital.

Patients

People who died in the hospitalization ward after ICU treatment between January 2014 and December 2019.

Interventions

None. This is an observational study.

Variables of interest

Age, sex, probability of death, type of admission, LSV in ICU, oncological disease, dependence, invasive mechanical ventilation, emergency hemodialysis, transfusion of blood products, nosocomial infection (NI), pre-ICU, intra-ICU and post-ICU stays.

Results

Of 114 patients who died outside the ICU, 49 had LSV registered in the ICU (42.98%). Age and stay prior to ICU admission were positively associated with LSV (OR 1,03 and 1,08, respectively). Patients without LSV had a higher post-ICU stay, while it was lower for male patients.

Conclusions

Our results support that LSV established within the ICU can avoid complications commonly associated with unnecessary prolongation of stay, such as NI.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信