Impact of vitamin D on the hospitalization rate of Crohn's disease patients seen at a tertiary care center

AIM To study the association between vitamin D level and hospitalization rate in Crohn's disease(CD) patients.METHODS We designed a retrospective cohort study using adult patients(> 19 years) with CD followed for at least one year at our inflammatory bowel disease center. Vitamin D levels were divided into: low mean vitamin D level(< 30 ng/m L) vs appropriate mean vitamin D level(30-100 ng/m L). Generalized Poisson Regression Models(GPR) for Rate Data were used to estimate partially adjusted and fully adjusted incidence rate ratios(IRR) of hospitalization among CD patients. We also examined IRRs for vitamin D level as a continuous variable.RESULTS Of the 880 CD patients, 196 patients with vitamin D level during the observation period were included. Partially adjusted model demonstrated that CD patients with a low mean vitamin D level were almost twice more likely to be admitted(IRR = 1.76, 95%CI: 1.38-2.24) compared to those with an appropriate vitamin D level. The fully adjusted model confirmed this association(IRR = 1.44, 95%CI: 1.11-1.87). Partially adjusted model with vitamin D level as a continuous variable demonstrated,higher mean vitamin D level was associated with a 3% lower likelihood of admission with every unit(ng/m L) rise in mean vitamin D level(IRR = 0.97, 95%CI: 0.96-0.98). The fully adjusted model confirmed this association(IRR = 0.98, 95%CI: 0.97-0.99). CONCLUSION Normal or adequate vitamin D stores may be protective in the clinical course of CD. However, this role needs to be further characterized and understood.

Intensify standardized therapy for esophageal and stomach cancer in tumor hospitals

INTRODUCTIONCancer treatment situation in tumor hospitals inChina has its own unique characteristics which arenot found in other parts of the world. Because ofthe huge population and high incidence rates ofesophageal and stomach cancer[1-5], the number ofcancer patients waiting for admission isinconceivably large.

SEIHCRD Model for COVID-19 Spread Scenarios,Disease Predictions and Estimates the Basic Reproduction Number,Case Fatality Rate,Hospital,and ICU Beds Requirement

We have proposed a new mathematical method,the SEIHCRD model,which has an excellent potential to predict the incidence of COVID-19 diseases.Our proposed SEIHCRD model is an extension of the SEIR model.Three-compartments have added death,hospitalized,and critical,which improves the basic understanding of disease spread and results.We have studiedCOVID-19 cases of six countries,where the impact of this disease in the highest are Brazil,India,Italy,Spain,the United Kingdom,and the United States.After estimating model parameters based on available clinical data,the modelwill propagate and forecast dynamic evolution.Themodel calculates the Basic reproduction number over time using logistic regression and the Case fatality rate based on the selected countries’age-category scenario.Themodel calculates two types of Case fatality rate one is CFR daily,and the other is total CFR.The proposed model estimates the approximate time when the disease is at its peak and the approximate time when death cases rarely occur and calculate how much hospital beds and ICU beds will be needed in the peak days of infection.The SEIHCRD model outperforms the classic ARXmodel and the ARIMA model.RMSE,MAPE,andRsquaredmatrices are used to evaluate results and are graphically represented using Taylor and Target diagrams.The result shows RMSE has improved by 56%–74%,and MAPE has a 53%–89%improvement in prediction accuracy.

Identification of Factors Influencing Out-of-county Hospitalizations in the New Cooperative Medical Scheme

Summary:Throughout the duration of the New Cooperative Medical Scheme(NCMS),it was found that an increasing number of rural patients were seeking out-of^county medical treatment,which posed a great burden on the NCMS fund.Our study was conducted to examine the prevalence of out-of^county hospitalizations and its related factors,and to provide a scientific basis for follow?up health insurance policies.A total of 215 counties in central and western China from 2008 to 2016 were selected.The total out-of-county hospitalization rate in nine years was 16.95%,which increased from 12.37%in 2008 to 19.21%in 2016 with an average annual growth rate of 5.66%.Its related expenses and compensations were shown to increase each year,with those in the central region being higher than those in the western region.Stepwise logistic regression reveals that the increase in out-of-county hospitalization rate was associated with region(XI),rural population(X2),per capita per year net income(X3),per capita gross domestic product(GDP)(X4),per capita funding amount of NCMS(X5),compensation ratio of out-of^county hospitalization cost(X6),per time average in-county(X7)and out-of-county hospitalization cost(X8).According to Bayesian network(BN),the marginal probability of high out-of^county hospitalization rate was as high as 81.7%.Out-of^county hospitalizations were directly related to X8,X3,X4 and X6.The probability of high out-of-county hospitalization obtained based on hospitalization expenses factors,economy factors,regional characteristics and NCMS policy factors was 95.7%,91.1%,93.0% and 88.8%,respectively.And how these factors affect out-of-county hospitalization and their interrelationships were found out.Our findings suggest that more attention should be paid to the influence mechanism of these factors on out-of-county hospitalizations,and the increase of hospitalizations outside the county should be reasonably supervised and controlled and our results will be used to help guide the formulation of proper intervention policies.

Investigation of Hepatitis C Virus Infection Rate of Patients in a General Hospital

Objective To investigate the infection rate of hepatitis C virus among the ambulatory patients and in-patients of a tertiary teaching hospital,and study the demographic factors related to the prevalence of hepatitis C virus infection.Methods All patients tested for hepatitis C virus antibody from July 2008 to July 2009 in Peking Union Medical College Hospital were enrolled in this cross-sectional analysis.The prevalence of hepatitis C virus infection was compared according to age,gender,and departments,respectively.Among patients with positive serology hepatitis C virus marker,the positivity of hepatitis C virus RNA was analysed.Results Among 29 896 subjects included,the hepatitis C virus antibody of 494 patients were positive(1.7%).When patients were divided into 9 age groups,the age specific prevalence of hepatitis C virus antibody were0.2%,1.7%,1.2%,1.1%,1.5%,1.9%,2.6%,2.4%and 2%,respectively.The prevalence of hepatitis C virus antibody in non-surgical department and surgical department was 3%and 1%,respectively.The prevalence of hepatitis C virus antibody of males was higher than that of the females.Total of 194 patients with positive hepatitis C virus antibody were tested for hepatitis C virus RNA,the RNA level of 113 patients(58.2%)were higher than the low detection limit.Conclusions The prevalence of hepatitis C virus antibody was relatively high among patients of general tertiary hospital.Age group of 60-69,males and patients in non-surgical departments were factors associated with high rate of hepatitis C virus infection.

Factors associated with incomplete colonoscopy at a Japanese academic hospital

AIM: To evaluate significant risk factors for incomplete colonoscopy at a Japanese academic hospital.

COVID-19 Pandemic Waves in Italy: An Epidemiological Overview about Infections, Swabs and Death Rates

Introduction: On March 11, 2020, the World Health Organization (WHO) declared that the entire World was overrun by a pandemic. Science has managed, in a short time, to characterize a new disease, sequence a new viral genome, develop diagnostics, produce treatment protocols and establish the efficacy of drugs and vaccines in randomized controlled trials. In this paper we have dealt with different topics regarding the pandemic linked to COVID-19. Objectives: Aim of this paper is to compare the number of deaths attributable to COVID-19, that occurred in the different Italian macro-areas, in the different pandemic waves;we studied the trend of the curves relating to the proportion of deaths to the number of infected in the Italian macro-areas for the pandemic waves and analysed the mortality data, focusing on the Italian context and comparing it with other foreign countries. We examined the data regarding swabs, hospitalizations, home isolation, admissions to intensive care and deaths registered in pandemic period. Results: Geographically, Italy was differently affected by the pandemic. Northern Italy was the most affected area. In comparison with some foreign countries, Italy is one of the nations that paid the most in terms of deaths, due to: delays in understanding the seriousness of the emergency;the slow management in the tracking systems of contagions;the high number of hospitalizations;a corporate organizational system poorly planned. Conclusion: The years 2020 and 2021 have been dramatic and unprecedented. The year 2021 was the year of redemption, where, despite social, economic and health difficulties, thanks to mass vaccination, we were able to give a real strong response to the pandemic. Trust in science has led to a drastic decrease in mortality throughout the world.

对103家三级公立医院医疗设备配置现状的调查与分析

目的:调查103家三级公立医院医疗设备配置现状,分析比对我国不同区域医院的医疗设备占比,为科学合理地配置医疗设备提供依据。方法:采用文献研究和专家咨询法设计调查问卷,通过“中国医学装备”公众号和“好医工”平台发布电子问卷进行调查,分析医疗设备配置数量、国产占比与医院所在区域及医院床位数的相关性。结果:共回收有效问卷103份,涉及华东、华北、华中、华南、西南、西北和东北的103家三级公立医院,其中华北占18%,华东占37%,华南占19%。华北、华南和华东3个样本区域三级公立医院医疗设备配置的平均台件数为9785台/家、9245台/家和8153台/家,甲乙类设备配置数量较少,与床位数无相关性;华北与华东在床位数、每百张床设备台件数以及每百张床设备金额上差异有统计学意义(t=-2.582、2.939、4.653,P<0.05);生命支持类设备配置数量均与床位数有显著正相关,国产占有率尤其是生命支持类设备的国产占有率有所提高。结论:分析我国公立医院医疗设备配置情况,可为医院更好地适应新版甲乙类大型医用设备目录的调整提供数据支撑,为三级医院在大型医用设备配置和国产化的示范推广提供参考依据,为相关卫生管理部门提供借鉴。

基于医院登记的78046例恶性肿瘤患者生存报告

目的基于医院登记的恶性肿瘤患者随访资料,以真实世界数据侧面反映地区恶性肿瘤的治疗效果。方法纳入2011年1月1日至2020年12月31日于广西医科大学附属肿瘤医院确诊的恶性肿瘤住院患者,共78046例包括17种恶性肿瘤的随访数据质量符合要求纳入研究。通过医院疾病管理系统及电话随访等方式收集生存随访信息,随访统计时间截至2023年6月30日。应用寿命表法估计各瘤别的1年、3年和5年总生存(overall survival,OS)率,分别对不同性别、年龄组、民族、临床分期及首次治疗时间患者的生存情况进行分析。结果收治的前5位恶性肿瘤依次为肝癌(14672例)、肺癌(10878例)、女性乳腺癌(9430例)、结直肠癌(6895例)、宫颈癌(6250例)。17种恶性肿瘤患者的1、3、5年OS率分别为76.3%、58.6%和51.4%,其中男性患者5年OS率低于女性(39.9%vs 63.1%)。各癌种OS的总体趋势均随着年龄增加而下降,其中≤44岁、45~54岁、55~64岁、65~74岁和≥75岁年龄组患者的5年OS率分别为64.0%、59.6%、52.7%、44.9%和35.7%。相比2011—2015年,2016—2020年肝癌、肺癌、女性乳腺癌、结直肠癌、鼻咽癌、淋巴瘤患者的5年OS率均明显升高(均P<0.05)。不同临床分期恶性肿瘤患者的生存状况差异有统计学意义(均P<0.01),其中Ⅰ~Ⅱ期患者的5年OS率高于Ⅲ~Ⅳ期患者(82.2%vs 43.4%)。肝癌、肺癌、女性乳腺癌、鼻咽癌、结直肠癌、宫颈癌中壮族患者的5年OS率较汉族患者明显降低(均P<0.05)。结论肝癌、肺癌是主要的收治癌种,恶性肿瘤患者中总体50%以上可以获得超过5年的生存期,不同癌种、年龄、性别、民族的恶性肿瘤患者生存状况存在明显差异,应持续实施规范、创新、多学科联合及精准的肿瘤临床治疗和早诊早治手段,以进一步改善患者的生存情况。

血液灌流对重症有机磷中毒患者心肌酶、抢救成功率的影响

目的:分析血液灌流对重症有机磷中毒患者心肌酶、抢救成功率的影响。方法:选取2021年8月1日—2023年11月1日丰城市人民医院收治的72例重症有机磷中毒患者,以随机数字表法分为常规组、观察组,各36例。常规组给予硫酸阿托品注射液及碘解磷定治疗,观察组在常规组基础上给予血液灌流治疗,两组均持续治疗3 d。对比两组苏醒时间、住院时间、格拉斯哥昏迷评分(GCS)、胆碱酯酶(ChE)水平、炎症因子[C反应蛋白(CRP)、白细胞介素-6(IL-6)]、抢救成功率、心肌酶[乳酸脱氢酶(LDH)、肌酸激酶(CK)]。结果:观察组苏醒时间、住院时间均短于常规组(P<0.05)。两组治疗后的GCS、ChE均升高,观察组GCS、ChE均高于常规组(P<0.05)。两组治疗后的CRP、IL-6均降低,观察组CRP、IL-6均低于常规组(P<0.05)。观察组抢救成功率[97.22%(35/36)]与常规组[83.33%(30/36)]比较,差异无统计学意义(P>0.05)。两组治疗后的LDH、CK均降低,观察组LDH、CK均低于常规组(P<0.05)。结论:血液灌流治疗重症有机磷中毒效果显著,可有效清除炎症因子,提高血清ChE水平,有利于心肌酶恢复,并可提高抢救成功率。

医疗失效模式与效应分析在新生儿医院感染防控中的应用

目的研究医疗失效模式与效应分析(healthcare failure mode and effect analysis,HFMEA)在新生儿医院感染防控中的应用效果。方法选取揭阳市人民医院新生儿中心2020年7月—2021年6月住院患儿1150例为对照组,2021年7月—2022年6月住院患儿1353例为观察组。对照组应用常规感染防控管理模式,观察组应用HFMEA管理模式进行医院感染防控干预。比较2组新生儿医院感染例次发病率、工作人员(医护、保洁)医院感染知识知晓率、手卫生依从率和正确率。结果观察组新生儿医院感染例次发病率为3.92%,低于对照组的5.65%,差异有统计学意义(P<0.05)。观察组医护人员医院感染知识知晓率、手卫生依从率、手卫生正确率为93.25%、90.25%、88.98%,高于对照组的51.84%、80.64%、79.94%,差异有统计学意义(P<0.05)。观察组保洁人员医院感染知识知晓率、手卫生依从率、手卫生正确率为91.15%、76.71%、75.71%,高于对照组的65.31%、60.65%、62.50%,差异有统计学意义(P<0.05)。结论应用HFMEA对新生儿中心进行科学管理,可有效指导新生儿医院感染防控,提升医院感染管理水平。

候床管理系统在提高分化型甲状腺癌患者住院收治率中的作用

目的探讨核医学科分化型甲状腺癌患者候床管理系统构建方法及在提高住院收治率中的作用。方法选择2021年3月—2023年1月广西医科大学第一附属医院核医学科收治的960例分化型甲状腺癌患者为对象,随机数字表法分为2组,各480例。对照组采用常规方法管理,观察组构建候床管理系统。2组均完成3个月干预,比较2组自我管理水平、住院时间、不良反应发生率、住院收治率及满意度。结果观察组干预3个月后自我概念、自护技能、自护意识及健康知识评分高于对照组(P<0.05);观察组干预3个月后住院时间≥7 d病例数和治疗过程中乏力、辐射损伤、放射性炎症、消瘦及恶心呕吐总发生率低于对照组(P<0.05);观察组干预3个月期间住院收治率为64.58%,高于对照组的43.75%;干预方法、服务态度、干预效果及干预形式方面满意度高于对照组(P<0.05)。结论构建核医学科分化型甲状腺癌患者候床管理系统,有助于提高患者自我管理水平,缩短住院时间,降低不良反应发生率,提高住院收治率及满意度。

2014-2020年东莞市某三级医院流动人口产妇剖宫产率及剖宫产指征分析

目的分析东莞市某三级医院2014-2020年流动人口产妇剖宫产率及剖宫产指征变化情况。方法收集2014-2020年东莞市某三级甲等医院住院分娩流动人口产妇的临床资料,剖宫产指征以第一指征为主,对其剖宫产指征构成及其变化进行回顾性分析。结果该组孕产妇32401例,剖宫产8721例,剖宫产率为26.9%。2014-2020年各年份的剖宫产率分别为29.8%、25.2%、26.6%、26.3%、25.1%、28.0%、27.1%。剖宫产指征以瘢痕子宫居首位,其他依次为胎位异常、胎儿宫内窘迫和社会因素。在高龄、非高龄产妇剖宫产指征中,瘢痕子宫和胎位异常均分别位居第1、2位,第3位剖宫产指征分别为产妇要求和胎儿宫内窘迫;高龄产妇的瘢痕子宫、前置胎盘、妊娠合并症、妊娠合并肿瘤构成比等均高于非高龄产妇,胎位异常、胎儿宫内窘迫、羊水过少、产程异常的比例则低于非高龄产妇(P<0.05)。结论该研究的剖宫产率仍高于WHO标准,剖宫产指征中以瘢痕子宫和胎位异常为主。

DRG联合住院病案首页标准化控制对普外科病案缺陷的影响

目的:探究DRG条件下联合住院病案首页标准化控制对普外科缺陷指标的影响。方法:选取吕梁市人民医院DRG联合住院病案首页标准化控制前后住院病案各1200份,对比分析DRG联合住院病案首页标准化控制前后普外科病例缺陷变化情况。结果:DRG分组下病案首页标准化控制后,普外科病案首页缺陷率为4.83%,DRG分组下病案首页标准化控制前缺陷率为20.25%,两组对比差异显著(P<0.05);对两组7项主要缺陷类型进行对比,标准化控制后各缺陷类型发生率均较标准化控制前更低,差异具有统计学意义(P<0.05);标准化控制后患者病案首页基本信息、住院过程和诊疗信息产生数据错误的概率明显降低(P<0.05)。结论:DRG与住院病案首页标准化控制相结合,可显著改善普外科病案首页填写质量以及病案管理水平,为病案首页质控提供依据,可推广应用。

PDCA法在医院消毒供应室感染管理中的应用价值研究

分析PDCA法在医院消毒供应室感染管理中的应用价值。选取滨州医学院附属医院2022年1月-2023年1月收治的200例手术患者为研究对象,将PDCA实施前(2022年1月-2022年6月)的100例患者纳入常规组,将PDCA实施后(2022年7月-2023年1月)的100例患者纳入PDCA组,比较消毒供应室实施PDCA法管理前后的合格率、院内感染发生率和工作人员业务能力。结果显示,PDCA组手卫生合格率、微生物检测合格率、器械消毒合格率高于常规组(P<0.05);PDCA组院内感染发生率低于常规组(P<0.05);PDCA组工作人员业务能力评分高于常规组(P<0.05)。研究发现,PDCA法在医院消毒供应室感染管理中的应用效果明显,可提升消毒供应室工作人员的业务能力及消毒灭菌等工作的合格率,降低手术患者的感染率,具有临床应用价值。

分析临床基础护理强化与睡眠护理在消化道出血住院患者中的应用价值

目的:分析临床基础护理强化联合睡眠护理对消化道出血住院患者治疗效果及睡眠质量的影响。方法:选取2022年1月至2022年12月厦门大学附属第一医院消化内科收治的消化道出血住院患者60例作为研究对象,按照随机数字表法分为观察组和对照组,每组30例。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,并比较2组患者的临床疗效及止血情况。结果:干预后,观察组PSQI评分显著低于对照组,观察组的总有效率显著高于对照组,观察组的止血时间、住院时间均显著短于对照组,观察组输血量显著少于对照组,观察组的再出血率显著低于对照组,差异均有统计学意义(均P<0.05)。结论:在为消化道出血住院患者提供临床基础护理干预的前提下,强化联合睡眠护理干预能让治疗效果显著提高,并能快速止血,减少患者的出血量及再出血,提升睡眠质量,加快康复进程,值得推广应用。

基于DRG支付的药事管理干预对基层医院静脉输液合理使用的影响

目的促进医院合理使用静脉输液。方法基于疾病诊断相关分组(DRG)支付进行药事管理干预,干预时间为2021年10月至12月,干预手段包括加强宣传教育培训,梳理静脉输液药品品种与疾病谱,制订病种相应临床路径,增加输液处方专项点评内容,将不合理处方开具情况纳入绩效考核,开展信息系统管控。通过医院信息系统与合理用药软件提取医院门/急诊与住院部2021年1月至9月(药事管理干预前)与2022年1月至9月(药事管理干预后)的病例资料,分析干预前后全部处方及含抗菌药物、含中药注射剂、含激素类药物(或辅助药品)处方中静脉输液相关指标及住院病例DRG相关药事指标。结果静脉输液相关指标,与干预前比较,干预后的门/急诊患者总体及不同类型药物静脉输液率(以人次、处方数计)均显著降低(P<0.01),住院患者除抗菌药物外的静脉输液率(以人次计)均显著降低(P<0.01);门/急诊与住院患者药品使用金额均不同幅度降低;门/急诊患者处方退回修改率显著升高(3.54%比2.41%,P<0.01);患者对静脉输液服务的总满意度显著升高(94.20%比73.20%,P<0.01)。DRG相关指标,与干预前比较,干预后的住院患者DRG总权重、病例组合指数(CMI)及基本药物使用金额占比均升高,费用消耗指数、时间消耗指数和患者次均费用均降低,且患者死亡率及静脉输液药品结构比、辅助药品结构比、次均药费、次均辅助药费均降低。结论该药事管理模式显著降低了静脉输液率,并提高了医院合理用药水平,减少了患者的就医费用,并提高了患者满意度,继而整体提升了该院的医疗服务能力。

572例宫颈癌远处转移患者的转移特征及生存分析:以医院为基础的真实世界研究

背景与目的:让宫颈癌患者获得有效的治疗是全球消除宫颈癌的策略之一。本文通过分析以医院登记为基础的宫颈癌发生远处转移患者的转移特征及转移后生存情况,为改善宫颈癌患者的生存情况并最终消除宫颈癌提供真实世界的科学证据。方法:基于复旦大学附属肿瘤医院2008—2017年确诊并接受治疗的宫颈癌患者,纳入初诊时已发生远处转移或者随访过程中发生远处转移的宫颈癌患者共572例,通过患者复诊病史资料、电话随访及死因数据链接等方式收集生存信息。研究起始时间为转移发生时间,随访统计时间截至2020年11月1日。应用Kaplan-Meier法绘制总体及不同转移部位的生存曲线,并估计不同转移部位的中位生存时间及1、3和5年总生存(overall survival,OS)率。结果:随访中位时间为38.93个月,期间共发生全死因死亡348例。72.55%为单一部位转移,27.45%为多发性转移。在所有转移部位中,肺转移比例最高(41.26%),其次为骨转移(15.21%),肝转移占11.54%,位列第3位。发生转移后,1、3和5年的OS率分别为62.29%(95%CI:62.25~62.33)、33.13%(95%CI:33.08~33.18)和23.42%(95%CI:23.37~23.47)。单一部位转移中,转移至肺后的1年OS率最高(72.52%),3和5年各个部位转移后的OS差异不显著。结论:宫颈癌最易发生远处转移的部位依次为肺、骨和肝,远处转移发生后患者的生存情况较差,规范和完善远处转移后的诊疗体系,可望改善患者的生存情况。

美国CDC社区老人跌倒风险自评量表与Morse跌倒评估量表在中国住院老年患者中的应用比较

目的 通过与中文版Morse跌倒评估量表(CMFS)对比,评估美国疾病预防与控制中心公布的社区老人跌倒风险自评量表(FRQ)在中国住院老年患者跌倒风险评估中的适用性。方法 本研究为横断面研究,采用便利抽样法,选取2023年1月至6月湖南省长沙市某三甲医院符合纳入及排除标准的420例住院老年患者为研究对象,收集患者一般资料、中文版FRQ(CFRQ)和CMFS评分及初次调查后90 d内的跌倒发生情况,分析受试者操作特征曲线、灵敏度、特异度、最佳临界值。结果 以“过去1年是否跌倒”为状态变量时,CFRQ和CMFS评分的受试者操作特征曲线下面积(AUC)值分别为0.829和0.767,当CFRQ和CMFS的最佳临界值分别为4.5分和47.5分时,约登指数分别为0.506和0.467,灵敏度分别为81.8%和51.9%,特异度分别为68.8%和94.8%。以“初次调查后90 d内的跌倒发生情况”为状态变量时,最佳临界值下的分组为检验变量时,CFRQ分组和CMFS分的AUC值分别为0.678和0.643,灵敏度分别为75.0%和41.7%,特异度分别为60.5%和87.0%。结论 与CMFS比较,CFRQ的诊断价值、真实性、灵敏度更好。

河北省体外膜氧合开展情况调查分析

目的调查近5年河北省体外膜氧合(ECMO)开展情况。方法河北省医师协会体外生命支持委员会于2024年1月1日至1月20日通过电话随访本省各地委员及各医院中心负责人,收集近5年ECMO开展情况。结果近5年ECMO开展中心数由8个上升到31个,年例数由65例上升到489例,ECMO机器数量由28台增加到100台。2023年开展ECMO的科室共计47个,其中急诊ICU有18个,ICU有21个,心内科ICU有3个,呼吸ICU有2个,心外科有3个。近5年呼吸支持和循环支持患者的住院生存率有下降趋势,2022年最低,2023年较2022年有所升高,体外心肺复苏(ECPR)患者的生存率总体有升高趋势。2023年不同适应证成人ECMO患者生存率偏低,呼吸支持患者的住院生存率为41.7%、循环支持为36.4%、ECPR患者为17.9%。2023年11个地市共开展ECMO 489例,开展最多的城市为274例,开展最少的城市为11例,ECMO生存率最高的城市为51.7%,生存率最低的城市为9%。结论近5年来河北省ECMO技术开展中心数和例数均较前明显增多,但仍存在各地区发展不平衡,生存率较国际及国内水平偏低,有待进一步完善三级医疗ECMO救治网络,加强培训与质量控制,从而推动河北省ECMO技术发展。