重症医学科2011年-2015年收治患者情况分析

Analysis on the Patients Admitting Situation of Intensive Care Department from 2011 to 2015

目的：分析近5年重症医学科运行情况及病种分类，探讨 ICU 管理方向及应该努力的方向。方法采用回顾分析的方法进行分析。结果2011年～2015年某院 ICU 共收治2624例患者，经治病例数量年平均增长速度是21%，住院患者中经 ICU 治疗的患者比例逐年增加（Cochran-Armitage 趋势检验 Z=6.13， P＜0.0001）；男性患者数量多于女性；治疗患者平均年龄逐渐降低。5年来的床位使用率为73.70%～87.84%，平均床位使用率为78.86%。对2015年收治患者病种分析，ICU 患者涵盖26个 MDC 中的18个， CMI 值高于某院所有患者的 CMI。结论根据三级医院主要收治急危重症患者的功能定位，需加强对于 ICU的建设，同时重症医学科应加强与临床专科的合作，探索多学科团队协作模式。

Objectives To explore the running condition and disease entities classification of Intensive Care department in the past 5 years,and pursue the directions of ICU management and we should work for. Methods The retrospective method was adopted for to make an analysis. Results In recent 5 years,the number of cases accepted by ICU was 2624,and the annual average growth rate was 21%. The proportion of patients who received the treatment of ICU of all the hospitalized patients was increasing year by year through Cochran-Armitage Tendency Test,Z = 6.13,〈0.0001. The number of males patients was bigger than female ones,and the average age of the patients was gradually decreased. Bed utilization rate was increased from 73.70% to 87.84% in the past five years,and the average rate of which was 78.86%. Through the analysis on the patients admitted in 2015,there were 18 MDCs of the 26 MDCs,case mix index （CMI） of patients accepted by ICU was higher than that of the all patients. Conclusions According to the main function of the three category hospital specialized in acute and critical diseases,it was need to strengthen the construction of the ICU,and intensive medicine should strengthen cooperation with clinical specialties,as well as explore multi-disciplinary team approach.