tailieunhanh - Báo cáo y học: "The effect of window rooms on critically ill patients with subarachnoid hemorrhage admitted to intensive care"

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: The effect of window rooms on critically ill patients with subarachnoid hemorrhage admitted to intensive care. | Wunsch et al. Critical Care 2011 15 R81 http content 15 2 R81 KS CRITICAL CARE RESEARCH Open Access The effect of window rooms on critically ill patients with subarachnoid hemorrhage admitted to intensive care Hannah Wunsch1 Hayley Gershengorn2 Stephan A Mayer3 and Jan Claassen3 Abstract Introduction Clinicians and specialty societies often emphasize the potential importance of natural light for quality care of critically ill patients but few studies have examined patient outcomes associated with exposure to natural light. We hypothesized that receiving care in an intensive care unit ICU room with a window might improve outcomes for critically ill patients with acute brain injury. Methods This was a secondary analysis of a prospective cohort study. Seven ICU rooms had windows and five ICU rooms did not. Admission to a room was based solely on availability. We analyzed data from 789 patients with subarachnoid hemorrhage SAH admitted to the neurological ICU at our hospital from August 1997 to April 2006. Patient information was recorded prospectively at the time of admission and patients were followed up to 1 year to assess mortality and functional status stratified by whether care was received in an ICU room with a window. Results Of 789 SAH patients 455 received care in a window room and 334 received care in a nonwindow room. The two groups were balanced with regard to all patient and clinical characteristics. There was no statistical difference in modified Rankin Scale mRS score at hospital discharge 3 months or 1 year with mRS scores of 0 to 3 with window rooms at hospital discharge versus with the same scores in nonwindow rooms at hospital discharge adjusted odds ratio aOR 95 confidence interval 95 CI to P versus at 3 months aOR 95 CI to P versus at 1 year aOR 95 CI to P . There were also no differences in any secondary outcomes including length of .