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Báo cáo khoa học: "Referrals to intensive care: a region-wide audit"
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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Referrals to intensive care: a region-wide audit. | Available online http ccforum.eom content 11 1 403 Letter Referrals to intensive care a region-wide audit Lawrence McCrossan William Bickerstaffe Sobhy M Mostafa Louisa Anderson Lyndsay Cheater David Jayson Sarah Mitchell Andrew Twist and Julie Wood Association of Merseyside Intensive Care Units Liverpool UK Corresponding author Lawrence McCrossan Lawrence.McCrossan@rlbuht.nhs.uk Published 10 January 2007 This article is online at http ccforum.com content 11 1 403 2007 BioMed Central Ltd Critical Care 2007 11 403 doi 10.1186 cc5134 We report the results of a 1-month audit conducted in six hospitals in the Mersey region of the UK. We assessed all referrals to the intensive care unit ICU looking at the circumstances of each patient referred that is the source time and reason for referral the grade of referring and assessing doctors whether consultants were involved in decision-making as recommended by the Department of Health 1 reasons for admission or refusal to the intensive care unit and the patient outcome. Two hundred and twenty-seven patients were referred to the ICU on 244 occasions. Patients over 75 years old were least likely to be admitted P 0.0001 . Patients referred out of hours were more likely to be admitted to the ICU P 0.005 . Consultants referred or were aware of the referral in 55 of cases. This compared with ICU consultants being involved in 93 of cases. Patients were more likely to be admitted if a consultant made the referral P 0.007 . Patients referred from the operating theatre department had the highest mortality 44 . Intensive care mortality was 30.3 compared with 15 for those patients judged too well and 89.4 for those considered too ill to benefit from intensive care. Approximately 10 of those patients judged too ill for admission to the ICU survived longer than 30 days. There was no significant difference in ICU mortality between medical referrals 31.3 and surgical referrals 29.5 but surgical patients were more likely to be admitted to the