重症监护室 "封闭式 "管理的优势

IF 1.4 Q3 ANESTHESIOLOGY
Mehdi Nematbakhsh
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引用次数: 0

摘要

背景重症监护病房(ICU)负责治疗临床上最复杂、最敏感的病人,人们常说重症监护病房的管理类型与病人的临床预后有关。在重症监护室的管理类型中,有两种类型更为常见,也更为重要--"开放式 "和 "封闭式",而每种管理类型都有其支持者和批评者。近年来,人们根据患者的死亡率和在重症监护室的住院时间等生命指标,努力为重症监护室的每一种管理方式辩护。因此,出现了一个重要问题,即哪种重症监护室管理方式适合实现治疗目标。方法通过 Web of Sciences、PubMed、PMC、Google Scholar 和 Scopus 等信息来源获取文献综述。考虑了 2024 年之前发表的所有文章,选择了评价 "开放式 "和 "封闭式 "重症监护室管理的英文原版或综述性出版物。最后,综述了 "开放式 "和 "封闭式 "重症监护病房的患者死亡率和住院时间。然而,要在训练有素的重症监护医师监督下建立标准的 "封闭式 "重症监护病房,必须具备必要的条件。对这些必要条件进行了讨论,并提出了一个模型。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The advantages of “closed” type management in intensive care units

Background

The intensive care units (ICUs) are responsible for treating the most complex and sensitive patients in the clinic, and it often is stated that the types of management in intensive care units are associated with patient's clinical outcomes. Among the types of management in ICUs, two types are more common and more important— the “open” type and “closed” type —while each type of management has its own supportive and critics. In recent years, efforts have been made to defend each type of management in ICUs based on patients' vital indicators, such as mortality rate and length of stay in the ICU. Therefore, an important question arises regarding which type of ICU management is suitable for meeting treatment goals.

Method

The literature review was obtained using information sources such as Web of Sciences, PubMed, PMC, Google Scholar and Scopus. All articles that were published until 2024 were considered, and the English original or review publications evaluating “open” and “closed” types of ICUs management were selected. Finally, an overview was provided on patient's mortality rate and length of stay in “open” and “closed” types of ICUs.

Conclusion

Most of the findings support a “closed” type of ICU with trained intensivist supervision. However, to achieve a standard “closed” type of ICU under the supervision of trained intensivists, the necessary conditions must be performed. These necessary conditions were discussed, and a model was presented.
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来源期刊
CiteScore
1.90
自引率
13.30%
发文量
60
审稿时长
33 days
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