某院重症医学科2020年会诊病例及收治患者来源构成分析

Analysis on source composition of consultation cases and admitted patients in department of critical care medicine of a hospital in 2020

目的分析某大学附属医院重症医学科2020年会诊病例及收治患者的来源构成,反映该院重症医学科的运行情况。方法收集2020年1月1日至12月31日贵州医科大学附属医院综合重症监护病房(ICU)会诊及收治患者的相关资料,统计并分析会诊患者及收治患者所在的科室构成和病种构成。结果2020年该院重症医学科全年共计会诊患者1265例次,其中会诊次数来源最多的科室前3位分别为肝胆外科(162例次,占12.81%)、急诊科(159例次,占12.57%)和血液科(133例次,占10.51%);会诊理由排名前3位的分别为呼吸衰竭(451例次,占35.65%)、休克(202例次,占15.97%)以及心力衰竭(120例次,占9.49%)。2020年该院综合ICU共计收治患者1656例次,其中各临床科室患者病情加重,会诊后转入788例次(占47.58%),手术后直接转入510例次(占30.80%),外院转入或急诊直接收入院358例次(占21.62%);收治患者所在原科室排名前3位的分别为直接入院(358例次,占21.62%)、神经外科(257例次,占15.52%)和急诊科(217例次,占13.10%);收治患者的常见病种为脓毒症(746例次,占45.05%)、休克(643例次,占38.83%)、急性呼吸窘迫综合征(ARDS;352例次,占21.26%)、多器官功能障碍综合征(MODS;182例,占10.99%)。结论2020年贵州医科大学附属医院重症医学科会诊涉及大部分临床科室,患者主要来源为会诊、术后及急诊,收治患者的主要病种为脓毒症及休克。

Objective To reflect the operative situation of the department of intensive care unit(ICU)in an affiliated hospital of a university by analyzing the source composition of consultation cases and admitted patients in the year 2020.Methods The data of consultation and related material of admitted patients to the comprehensive ICU wards in above hospital in 2020 were collected from January 1 to December 31,2020 and the various departments originally staying and disease type compositions of the consultation patients were retrospectively analyzed statistically.Results A total of 1265 patient times were consulted in the whole year of 2020 in department of ICU,among which the top 3 original staying departments were department of hepatological surgery(162 case times,12.81%),department of emergency(159 case times,12.57%)and department of hematology(133 case times,10.51%).The top 3 reasons for consultation were respiratory failure(451 case times,35.65%),shock(202 case times,15.97%)and heart failure(120 case times,9.49%).A total of 1656 case times of patients were admitted into the department of comprehensive ICU in 2020,among whom 788 case times(47.58%)were after consultation,transferred from various departments in this hospital due to aggravation of diseases,510 case times(30.80%)were transferred directly to the ICU after surgery in this hospital,and 358 case times(21.62%)were transferred from other hospitals or department of emergency directly accepted in this hospital.The top 3 original staying place or situation of admitted patients were direct admission(358 case times,21.62%),department of neurosurgery(257 case times,15.52%),and department of emergency(217 case times,13.10%).The common disease types were sepsis(746 case times,45.05%),shock(643 case times,38.83%),acute respiratory distress syndrome(ARDS;352 case times,21.26%)and multiple organ dysfunction syndrome(MODS;182 case times,10.99%).Conclusions The consultation of department of ICU in the year 2020 involves a great part of clinical departments in Affiliated Hospital of Guizhou Medical University.The main sources of patients are severe patients after consultations,postoperative patients or critically ill patients for emergent treatments,and the main disease types admitted are sepsis and shock.