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>Journals >Medicina Crítica >Year 2001, Issue 2


Sánchez-Velázquez LD, Ortíz SL, González AVM
Use of invasive accesses, diagnostic and therapeutic procedures in the intensive care unit. Multicentric study
Rev Asoc Mex Med Crit y Ter Int 2001; 15 (2)

Language: Español
References: 5
Page: 37-40
PDF: 44.36 Kb.


Texto completo


ABSTRACT

Objective: To know the use of invasive accesses and diagnostic and therapeutic procedures in three ICUs. Design: Descriptive study. Setting: Two polyvalent ICUs and one oncologic ICU, Mexico City. Patients: A total of 1,374 patients were enrolled (730 women, 644 men, mean age 52.4 ± 19.6 yrs.). Interventions: None. Measurements and main results: ICU stay was 5.3 ± 6.4 days (1-60 days) and APACHE II score was 15.3 ± 7.6 points (0-50 points). The following were the more frequently therapeutic and intervention procedures used during ICU stay: vesical catheter, drainage of surgical wound, endotracheal tube, nasogastric tube and subcla-vian venous catheter (invasive accesses); CT scann, gastrointestinal endoscopy, corporal punctures, echocar-diography and bronchoscopy (diagnostic procedures); and mechanical ventilation, blood transfusion, plasma transfusion, enteral nutrition and surgery (therapeutic procedures). Conclusion: To know the frequency of utilization of therapeutic and interventions procedures in national ICUs could improve the use of resources.


Key words: Quality of care, outcome assessment, health care utilization, health services research.


REFERENCIAS

  1. NNIS. Semiannual report. Aggregated data from the National Nosocomial Infections Surveillance (NNIS) System. June 2000.

  2. Keene AR, Cullen DJ. Therapeutic Intervention Scoring System: Update 1983 Crit Care Med 1983; 11(1): 1-3.

  3. Ponce de León RS, Molinar RF, Domínguez CG, Rangel FS, Vázquez RVG. Prevalence of infections in intensive care units in Mexico: A multicenter study. Crit Care Med 2000; 28: 1316-21.

  4. Hanson III CW, Deutschman CS, Anderson III HL, Reilly PM, Behringer EC, Schwab CW, Price J. Effects of an organized critical care service on outcomes and resource utilization: A cohort study. Crit Care Med 1999; 27: 270-4.

  5. Block BM, Sirio CA, Cooper GS, DiGiusseppe DL, Rosenthal GE. Use of intensive care-specific interventions in major teaching and other hospitals: A regional comparison. Crit Care Med 2000; 28: 1204-7.






>Journals >Medicina Crítica >Year 2001, Issue 2
 

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