Distribution Characteristics and Prognostic Risk Factors Analysis of Critically Ill Patients with Prolonged Stay in Intensive Care Unit_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

HUANG Wei , ZHOU Junfeng , ZHANG Jiuzhi , WAN Xianyao.

Department of General Intensive Care Unit, The First Affiliated Hospital, Dalian Medical University. Dalian,Liaoning,116011, ChinaCorresponding Author: HUANG wei, E-mail: huangwei9898@ 163. com;

Corresponding author：

Keywords：

Intensive care; Prognostic factors; Length of hospital stay

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Objective To explore the distribution characteristics and prognostic risk factors of critically ill patients who has long-term hospitalization in intensive care unit ( ICU) . Methods A retrospective study was carried out to evaluate 119 critically ill patients from January 2003 to July 2009 by extracting data from computerized hospital information system. The patients were divided into a survival group and a non-survival group based on discharging outcomes. A binary logistic regression analysis was
introduced to investigate potential risk factors of prognosis. Results Age, type of payment, entity of disease,and length of ICU stay were significantly different between the two groups ( P lt; 0. 05) in independent-Samples T test. Logistic regressions indicated that age, length of ICU stay and plasma infusion were independent predictors for worse outcome. Conclusions Age, length of ICU stay and plasma infusion may directly influence the prognosis of patients with prolonged stay in ICU. Intensive therapies should be emphasized for those patients at high risk.

Citation： HUANG Wei,ZHOU Junfeng,ZHANG Jiuzhi,WAN Xianyao.. Distribution Characteristics and Prognostic Risk Factors Analysis of Critically Ill Patients with Prolonged Stay in Intensive Care Unit. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(2): 181-183. doi: Copy

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1. 黄君瑶. 超长住院病例医疗费用影响因素分析. 中国医院统计,2008, 15: 215 -217.
2. 廖珊, 魏丽娜, 刘冬生, 等. 2004 年我院住院时间超长病人统计分析. 中国医院统计, 2005, 12: 150 -151.
3. 冯丹, 刘建超. 超长住院日影响因素的Logistic 回归分析. 中国医院管理, 2009, 29: 40-42 .
4. 黄伟. 长期机械通气研究进展. 医师进修杂志( 内科版) , 2004 ,27: 44-45.
5. Vincent JL, Baron JF, Reinhart K, et al. Anemia and blood transfusion in critically ill patients. JAMA, 2002, 288 : 1499-1507.
6. Corwin HL, Gettinger A, Pearl RG, et al. The CRIT Study: Anemia and blood transfusion in the critically ill--current clinical practice in the United States. Crit Care Med, 2004 , 32: 39-52.
7. 刘宏杰. Logistic 回归模型使用注意事项和结果表达. 中国公共卫生, 2001, 17: 466 -467.

Chinese Journal of Respiratory and Critical Care Medicine

Distribution Characteristics and Prognostic Risk Factors Analysis of Critically Ill Patients with Prolonged Stay in Intensive Care Unit

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