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Epidemiological Survey Of The Patinets Died In Intensive Care Unit

Posted on:2007-07-26Degree:MasterType:Thesis
Country:ChinaCandidate:Y P LiuFull Text:PDF
GTID:2144360185970600Subject:Internal Medicine
Abstract/Summary:PDF Full Text Request
Objectives To investigate present information of the patients died in the intensive care unit (ICU), provide the references for formulating the standards of ICU admission and other rules.Method Retrospective analysis of case series was conducted. All patients died in the intensive care unit (ICU) from Jan 1st. 2003 to Dec 31st. 2004 were enrolled. Age,sex,diagnosis,length of stay and cost of hospitalization of them were reviewed and compared between the patients in ICU and not in ICU. Data were processed by SPSS10.0.Result There were 2,015 deaths in the hospital during two years long, of which 367 patients occurred in the ICU(18.2%) and 1,648 in other medical units(81.8%). The male proportion of the deaths is higher than the female, average age of deaths in the ICU is smaller than non- ICU(P<0.01), the main cause of death in ICU group is cerebrovascular disease,respiratory disease, trauma, but malignant tumor, cerebrovascular disease, cardiovascular disease in non- ICU. The malignant tumor proportion in non- ICU is obviously higher than in the ICU(P<0.01). The patients with respiratory disease, trauma, intoxation were more likely to admit the ICU treatment(P<0.01). The proportion of the adult patients(> 40 years old) In the ICU death is 83.7%, the proportion of the old patients (> 60 years old) is 57.5%, the proportion of 70 - 80 years old patients is highest, the next is 60 - 70 years old, 50 - 60 years old, and above 80 years old. There is no obvious difference on average stay of the two groups(13.8±20.8days vs 13.6±19.4days, P>0.05), the cost of the ICU death is higher than the non- ICU(RMB36718.5±53234.1vs RMB 14411.2±21792.3, P < 0.01), the difference after exclueding the patients died whthin 24 hours is still...
Keywords/Search Tags:intensive care unit, death, end-of-life care, epidemiology
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