查詢結果分析
相關文獻
- 加護病房癌症患者之預後與相關因素之探討
- 新生兒加護病房存活者之出院計劃及追蹤門診
- 十字花科蔬菜黑斑病菌的存活研究
- 以存活分析方法探究臺北市低收入戶生育間隔之影響因素
- 結果論及其生命倫理應用
- The Investigation of Clinical Characteristics and Outcomes of ICU Readmission among Elderly Patients
- 美國醫學教育現況
- A Comparison of MICU Survival Prediction Using the Logistic Regression Model and Artificial Neural Network Model
- 專責重症專科醫師對外科加護病房患者的照護品質提升之探討
- Admission to Surgical Intensive Care Units: Impact on the Resource Utilization and the Patient Outcome
頁籤選單縮合
題 名 | 加護病房癌症患者之預後與相關因素之探討=Outcome and Prognostic Factors in Critically Ill Cancer Patient Admitted to the ICU |
---|---|
作 者 | 張麗君; 林楷煌; 楊翠菱; 許景眉; 李金杏; | 書刊名 | 呼吸治療雜誌 |
卷 期 | 12:2 2013.07[民102.07] |
頁 次 | 頁29-38 |
分類號 | 419.77 |
關鍵詞 | 癌症重症; 加護病房; 結果; 存活; Critically ill cancer; Intensive care unit; Outcome; Survival; |
語 文 | 中文(Chinese) |
中文摘要 | 研究目的:分析重症加護病房癌症患者之臨床相關參數,期望瞭解影響重症癌症患者預後的可能相關因素,提供臨床醫療人員、家屬與患者選擇積極的加護醫療處置或改以全方位照顧的安寧照護之參考。提升患者與家屬的生活品質並增加有限醫療資源之運用。研究方法:2007年10月至2009年12月,以隨機收案方式收集ICD9診斷癌症重症患者共383人。分析各項臨床及實驗資料包括性別、年齡、肝腎功能相關指標及血液學等相關檢驗值。另外進一步分析癌症重症病患加護病房存活與死亡患者間所存在之臨床相關因子,找出影響癌症患者死亡之臨床相關因素。相關資料以SPSS13統計軟體中文版作統計分析。研究結果:共收集383位癌症重症患者,其中加護病房存活患者有213人(56%)、死亡170人(44%)。研究分析結果顯示,在死亡患者170人中有164人(96%)接受插管使用呼吸器,發生血液、腎器官衰竭的比率分別為61人(36%)及24人(14%),明顯高於存活患者(P<0.05)。因此,癌症重症患者是否插管使用呼吸器及是否發生器官衰竭皆可能影響病患加護病房存活率。持續追蹤213位存活並轉出加護病房患者,其中有36位仍在此次住院中死亡。因此,本研究之癌症重症患者住院死亡人數為206人;死亡率54%。結論:研究顯示患者是否需插管使用呼吸器,是否發生血液、腎器官衰竭與是否發生多重器官衰竭似乎與患者的預後有相關性,或可作為臨床醫療人員之評估參考指標之一。 |
英文摘要 | Objectives: We analyzed clinical related parameters of critical ill cancer, and expected to realize the prognosis factors of critical ill cancer patients. It may offer comprehensive references to upgrade the quality of life and increase the use of limited medical resources. Patients and Measurements: Until October, 2007 to December, 2009, we collected 383 cases ICD9 critical ill cancer randomly. Analyzed each clinical and experiment data included gender, age, liver and renal function related indicators and hematology test values. Furthermore, to find out the clinical related parameters of causes to cancer patient death, we analyzed the relationship between critical ill cancer patient to survival and dead. The relative data were statistically analyzed by Chinese version statistical program, SPSS13. Results: Among the 383 critical ill cancer patients collected in the intensive care unit, the survival patients were 213 people (56%), and the dead patients were 170 people (44%).The consequence showed there were 164 people intubated in the dead group (170 people), which the percentage of blood and renal failure is 36% (61 people) and 14%(24 people), higher then the survival patients (P<0.05). Then, whether critical ill cancer patients were endotrachael tube intubated or organ failure happened may affect the ICU survival rate. We continued tracking the survival group (213 people), and 36 people dead in the hospitalization. Therefore, our survey's mortality rate is 54% (206 people). Conclusions: Study shows whether patients were endotrachael tube intubated needed, whether patients have happened blood and renal failure, whether multiple organ failure happened seems to related to patient's prognosis, or it can be the index for reference and evaluation of clinical medical staff. |
本系統中英文摘要資訊取自各篇刊載內容。