"Impact of establishing a respiratory high dependency unit for SCAP patients on the therapeutic effect, prognosis, and expenditure: a retrospective case-control study"

作者全名：Qin Yalan; Tong Jin

作者地址："[Qin Yalan] Chongqing Med Univ, Dept Crit Care Med, Affiliated Hosp 2, Chongqing 400010, Peoples R China; [Tong Jin] Chongqing Med Univ, Dept Resp Med, Affiliated Hosp 2, 76 Linjiang Rd, Chongqing 400010, Peoples R China"

通信作者："Tong, J (通讯作者)，Chongqing Med Univ, Dept Resp Med, Affiliated Hosp 2, 76 Linjiang Rd, Chongqing 400010, Peoples R China."

来源：SCIENTIFIC REPORTS

ESI学科分类：Multidisciplinary

WOS号：WOS:000816731400097

JCR分区：Q1

影响因子：4.6

年份：2022

卷号：12

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：　

摘要："To explore the effects of establishing a high dependency unit (HDU) on the prognosis, outcome, and expenditure of patients with severe community-acquired pneumonia (SCAP). 108 SCAP patients were recruited from the respiratory intensive care unit (RICU) of the Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. Of these, 87 qualified the study-selection criteria and were divided into HDU group (treated in HDU after discharge from RICU prior to transfer to normal unit) (n = 40) and normal group (not treated in the HDU) (n = 47). In the 87 patients, 40 were divided into HDU group, which meant they transferring to HDU when got stable while another 47 were divided into normal group which meant they staying longer in RICU and transferring to normal unit when got stable. Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure Assessment (SOFA) scores, duration of mechanical ventilation, hospital infection, intensive care unit syndrome, length of stay, and expenditure were compared between the two groups. The primary outcome was discharging from hospital while the secondary outcome was length of stay. There was no significant difference with respect to noninvasive ventilation time, oxygenation index, or APACHE II and SOFA scores at admission or discharge from RICU (P > 0.05). The mean invasive ventilation time (176 +/- 160 h) of the HDU group was not significantly different from that in the normal group (206 +/- 179 h). The period of sequential noninvasive ventilation in the HDU group (135 +/- 82 h) was significantly shorter than that in the normal group (274 +/- 182 h, P < 0.05). The HDU group had a shorter length of stay in hospital and RICU, and incurred lesser expenditure than patients in the normal group (P < 0.05). Patients in HDU group had almost the same therapeutic effect with shorter length of stay in hospital and RICU, and lesser expenditure."

基金机构：Kuanren Elite Backbone Talents Special project of the Second Affiliated Hospital of Chongqing Medical University [KY2019G007]

基金资助正文：This study was supported in part by grants from Kuanren Elite Backbone Talents Special project of the Second Affiliated Hospital of Chongqing Medical University (KY2019G007).