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題 名 | 臺灣加護病房住出院標準草案之共識=Survey of the Admission/Discharge Criteria Plan of Critical Patients for Intensive Care in Taiwan |
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作 者 | 林世崇; 丁予安; 曾春典; 江志桓; 江啟輝; 唐高駿; 謝凱生; 蘇明勳; 蔡清標; 尹彙文; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 3:3 2001.07[民90.07] |
頁 次 | 頁198-210 |
專 輯 | 心臟專題 |
分類號 | 419.39 |
關鍵詞 | 加護病房; 重症醫學; 中華民國重症醫學會; 住院標準; 出院標準; 安寧緩和醫療; Intensive care unit; ICU; Critical care medicine; Taiwan society of critical care medicine; TSCCM; Admission criteria; Discharge criteria; Hospice care; |
語 文 | 中文(Chinese) |
中文摘要 | 加護病房所照護之病人,包括臨床各科之重症危急病人,且需要積極生理儀器之監測,及維持病人之生命。在此兩大原則之考量下,我們針對國內之加護病房之住出院標準作全國性之問卷調查。此調查研究包括兩次之問卷。第一次是針對中華民國重症醫學會之專科醫師,以事先擬定之草案內容,經由重症專科醫師之回函修正及理事會討論,經過整理之後,將修訂後之住出院內容,再寄發中華民國重症醫學會全體會員。於90年8月31日,經由第二次問卷研究分析,得到以下之結論。加護病房之住院標準:需要積極性的生理儀器監測及積極加護治療,及維持血行力學之穩定,包括下列情況:急性冠心症:包括急性心肌梗塞,不穩定心絞痛,及剛接受介入性心導管治療之患者。任何危急生命之各種緊急狀況,而需要特殊監測及積極治療者(包括心律不整、心包填塞、呼吸道阻塞、呼吸衰竭、嚴重感染、電解質異常、血氧過低、急性腦病變、多發性嚴重創傷、免疫不全及併發症)。術後屬於高危險群之病人,且需要積的生理儀器監測及積極加護治療,及維持血行力學之穩定。敗血症。任何原因造成之休克。經重症醫學專科醫師診療評估後,認定患者情況必須住加護病房治療。加護病房之出院標準:以下病人,並不適合住入加護病房,包括:確定腦死之病人(但如欲實施器官捐贈者,不在此限)。生理功能穩定,不需持續血行動力及呼吸系統之監測。生命跡象定,不需積極加護治療。包括:慢性疾病之緊急狀況已經緩和,不需積極加護治療。如阻塞肺炎、心衰竭、腎衰竭、肝病或癌症,雖然疾病之恢復可性極小,但目前已不需積極加護治療。雖長期使用呼吸器,但生命跡象已穩定者。已植物人狀態。已經簽署安寧緩和醫療條例中的效棄治療志願書者。 |
英文摘要 | Critical Care Medicine is one of the multidisciplinary specialties for clinical care and investigation. It is well known that the basic principles of critical care medicine for patients include intensive monitoring and life support. However, discrepancies exit among different hospitals’ protocol for he admission and discharge of critically ill patients, because of the varied and multiple organs involved. Most intensive care units in Taiwan are operated through open models, in which patients are cared for under varied specialty or subspecialty care. In light of such multidisciplinary care, differences among different subspecialties in regard to admission and discharge policies inevitably results. We surveyed the intensive care units nation-wide for their admission/discharge criteria. Dr S.C. Lin proposed the basic criteria, which was consequently modified by the Subcommittee of ICU Survey of Taiwan Society of Critical Care Medicine (TSCCM). The survey also included the stipulations of “Hospice Care Regulations, “effective starting on June 7, 2000. During the first correspondence survey, we mailed the questionnaires to all the intensives who are qualified specialists in critical care medicine by TSCCM. One hundred and nineteen of the 754 feedbacks were randomly collected for subsequent investigation. After reviewing the feedback, we proposed in the Board Committee of TSCCM the second questionnaires, which were sent to all the members of the society. The subcommittee concluded the survey and reached the final conclusion of admission/criteria of critically ill patients for intensive care in Taiwan. Derived from the members’ consensus, the modified criteria contained the most essential rules for admission while leaving ample rooms, for interpretation. This legislative latitude would be kept in check by a more stringent set of discharge criteria. |
本系統中英文摘要資訊取自各篇刊載內容。