지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 528 - 533 (6page)
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초록· 키워드
오류제보하기
We investigated the causes of inpatient death after intensive care unit (ICU) discharge and determined predictors of in-hospital mortality in Korea. Using medical ICU registry data of Seoul National University Hospital, we performed a retrospective cohort study involving patients who were discharged alive from their first ICU admission with at least 24 hours of ICU length of stay (LOS). From January 2011 to August 2013, 723 patients were admitted to ICU and 383 patients were included. The estimated in-hospital mortality rate was 11.7% (45/383). The most common cause of death was respiratory failure (n = 25, 56%) followed by sepsis and cancer progression; the causes of hospital death and ICU admission were the same in 64% of all deaths; sudden unexpected deaths comprised about one-fifth of all deaths. In order to predict in-hospital mortality among ICU survivors, multivariate analysis identified presence of solid tumor (odds ratio [OR], 4.06; 95% confidence interval [CI], 2.01–8.2; P < 0.001), hematologic disease (OR, 4.75; 95% CI, 1.51–14.96; P = 0.013), Sequential Organ Failure Assessment (SOFA) score upon ICU admission (OR, 1.08; 95% CI, 0.99–1.17; P = 0.075), and hemoglobin (Hb) level (OR, 0.67; 95% CI, 0.52–0.86; P = 0.001) and platelet count (Plt) (OR, 0.99; 95% CI, 0.99–1.00; P = 0.033) upon ICU discharge as significant factors. In conclusion, a significant proportion of in-hospital mortality is predictable and those who die in hospital after ICU discharge tend to be severely-ill, with comorbidities of hematologic disease and solid tumor, and anemic and thrombocytopenic upon ICU discharge.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Mack MG / 1997 / A descriptive analysis of children’s playground injuries in the United States 1990-4 / Inj Prev 3:100~103
Tinsworth DK / 2001 / Special Study: Injuries and Deaths Associated with Children’s Playground Equipment / Consumer Product Safety Commission
Vollman D / 2009 / Epidemiology of playground equipment-related injuries to children in the United States, 1996-2005 / Clin Pediatr (Phila) 48:66~71
Schwebel DC / 2014 / Child development and pediatric sport and recreational injuries by age / J Athl Train 49:780~785
송해달 / 2009 / 응급의료 센터를 바탕으로 한 취학전 어린이 손상 환자의 심층적 손상감시 체계 시범적 적용 / 대한응급의학회지 20(6):649~657
Tinsworth DK / 2001 / Special Study: Injuries and Deaths Associated with Children’s Playground Equipment / Consumer Product Safety Commission
Vollman D / 2009 / Epidemiology of playground equipment-related injuries to children in the United States, 1996-2005 / Clin Pediatr (Phila) 48:66~71
Schwebel DC / 2014 / Child development and pediatric sport and recreational injuries by age / J Athl Train 49:780~785
송해달 / 2009 / 응급의료 센터를 바탕으로 한 취학전 어린이 손상 환자의 심층적 손상감시 체계 시범적 적용 / 대한응급의학회지 20(6):649~657
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