重症医师覆盖率和COVID-19危重患者结局:一项基于人群的队列研究

IF 3.8 2区 医学 Q1 CRITICAL CARE MEDICINE
Tak Kyu Oh, Saeyeon Kim, In-Ae Song
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引用次数: 0

摘要

背景:训练有素的重症监护人员可以改善重症监护病房危重患者的生存结果。然而,对2019冠状病毒病危重患者预后的影响尚未得到评估。我们的目的是调查训练有素的重症医师是否会影响韩国重症监护室2019冠状病毒病危重患者的预后。方法:使用韩国全国登记数据库,纳入了2020年10月8日至2021年12月31日期间入住重症监护病房的成年患者,主要诊断为2019冠状病毒病。入住重症监护病房的危重患者被纳入重症监护组,而所有其他危重患者被分配到非重症监护组。结果:共纳入危重患者13103例,其中重症监护组2653例(20.2%),非重症监护组10450例(79.8%)。在协变量校正的多变量logistic回归模型中,重症监护组的住院死亡率比非重症监护组低28%(优势比:0.72;95%置信区间:0.62,0.83;结论:在韩国,训练有素的重症医师覆盖率与需要入住重症监护病房的2019年冠状病毒病危重患者住院死亡率降低有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Intensivist coverage and critically ill COVID-19 patient outcomes: a population-based cohort study.

Intensivist coverage and critically ill COVID-19 patient outcomes: a population-based cohort study.

Background: Trained intensivist staffing improves survival outcomes in critically ill patients at intensive care units. However, the impact on outcomes of critically ill patients with coronavirus disease 2019 has not yet been evaluated. We aimed to investigate whether trained intensivists affect outcomes among critically ill coronavirus disease 2019 patients in South Korean intensive care units.

Methods: Using a nationwide registration database in South Korea, we included adult patients admitted to the intensive care unit from October 8, 2020, to December 31, 2021, with a main diagnosis of coronavirus disease 2019. Critically ill patients admitted to intensive care units that employed trained intensivists were included in the intensivist group, whereas all other critically ill patients were assigned to the non-intensivist group.

Results: A total of 13,103 critically ill patients were included, with 2653 (20.2%) patients in the intensivist group and 10,450 (79.8%) patients in the non-intensivist group. In the covariate-adjusted multivariable logistic regression model, the intensivist group exhibited 28% lower in-hospital mortality than that of the non-intensivist group (odds ratio: 0.72; 95% confidence interval: 0.62, 0.83; P < 0.001).

Conclusions: Trained intensivist coverage was associated with lower in-hospital mortality among critically ill coronavirus disease 2019 patients who required intensive care unit admission in South Korea.

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来源期刊
Journal of Intensive Care
Journal of Intensive Care Medicine-Critical Care and Intensive Care Medicine
CiteScore
11.90
自引率
1.40%
发文量
51
审稿时长
15 weeks
期刊介绍: "Journal of Intensive Care" is an open access journal dedicated to the comprehensive coverage of intensive care medicine, providing a platform for the latest research and clinical insights in this critical field. The journal covers a wide range of topics, including intensive and critical care, trauma and surgical intensive care, pediatric intensive care, acute and emergency medicine, perioperative medicine, resuscitation, infection control, and organ dysfunction. Recognizing the importance of cultural diversity in healthcare practices, "Journal of Intensive Care" also encourages submissions that explore and discuss the cultural aspects of intensive care, aiming to promote a more inclusive and culturally sensitive approach to patient care. By fostering a global exchange of knowledge and expertise, the journal contributes to the continuous improvement of intensive care practices worldwide.
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