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[医学科研]:Septicemia deaths could be halved

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admin 发表于 2014-4-15 12:31:21 | 显示全部楼层 |阅读模式


Researchers from the Australian New Zealand Intensive Care (ANZIC) Research Centre at Monash University today released a study that reveals how a bi-national approach to intensive care has halved the mortality of patients entering Intensive Care Units (ICUs).

The study delivered today by Dr Rinaldo Bellomo from the Monash University School of Public Health and Preventative Medicine, at the International Symposium on Intensive Care and Emergency Medicine in Belgium, Brussels.

Simultaneously published in the Journal of the American Medical Association (JAMA), the study highlights how Australia and New Zealand have reported the lowest rates of mortality for ICU sepsis in the world for the past 10 years.

Sepsis – or septicemia – is a major cause of patients entering ICUs worldwide.

The study looked at more than one million patients admitted to Australian and New Zealand hospitals from 2000 to 2012. Over this time, the number of patients entering ICUs with sepsis increased from 7.2% in 2000 to 11.1% over the 12 years. However, over the same time span deaths from sepsis in ICU dropped from 35% to 18.4%.

Importantly, young to middle-aged patients with few other medical issues other than sepsis had mortality rates of less than five per cent by 2012.

Dr Bellomo explained how a group of intensive care physicians and anaesthetists from Australia and New Zealand established the Australian New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation with the aim of systematically measuring and reporting outcomes of care in ICUs.

“Intensive care medicine in Australia and New Zealand is unique in the world in managing patients in a uniform and coordinated manner, Dr Bellomo said.

Contributing to the study Monash University Adjunct Associate Professor and Director of ANZICS-CORE David Pilcher explained, how data collected for over a decade provided unique ways to analyse and learn from what works and doesn’t work.

“While there is an increase in the number of ICU patients being discharged from hospital, those same patients still require rehabilitation and chronic care facilities.

“Although we know there are survivors, we don’t know what their level of function is and if they can provide basic care for themselves. The burden to the community and cost implications of long term care for people leaving ICU is becoming an emerging and critical health issue,” Professor Pilcher said.

The significant reduction in mortality rates highlighted in the study has been attributed to a coordinated approach to ICUs by Australia and New Zealand. In the 1970s, Australia and New Zealand established the first closed ICUs in the world, where a group of full time dedicated specialists managed the critically sick patients in a hospital 24 hours a day.



(Source: MONASH, Journal of the American Medical Association)

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路易十三 发表于 2014-5-11 17:27:04 | 显示全部楼层
本帖最后由 路易十三 于 2014-5-11 17:30 编辑

         来自澳大利亚新西兰重症监护(ANZIC)莫纳什大学研究中心的研究人员今天发布的一项研究揭示了一个两国共同进入重症监护病房(icu)的重症监护病人的死亡率减少了一半的方法。 这项研究被莫纳什大学医学院公共卫生和预防的 Rinaldo Bellomo博士投递到在比利时的布鲁塞尔举行的重症监护和急诊医学国际研讨会上。同时发表在《美国医学协会杂志(JAMA),这项研究强调了澳大利亚和新西兰报道在过去的10年世界ICU脓毒症的最低死亡率。脓毒血症或败血症是全球进入icu患者的一个主要原因。       这项研究从2000年到2012年观察了进入澳大利亚和新西兰医院的一百万多名病人。这段时间过后,进入icu的脓毒症患者数量从2000年的7.2%上升到7.2%在12年。然而,在同样时间段内,在ICU里死于败血症的从35%下降到18.4%。重要的是,到了2012年年轻至中年的患有脓毒症以外的其他一些健康问题患者的死亡率不到百分之五。Bellomo博士解释了一群来自澳大利亚和新西兰重症监护医生和麻醉师建立了澳大利亚新西兰重症监护中心社会和资源评价结果,目的是系统地测量和报告icu的护理结果。 “澳大利亚和新西兰的重症监护医学是世界上独一无二的统一和协调的方式。”在管理病人Bellomo博士说。这导致在莫纳什大学研究兼职副教授兼ANZICS-CORE主任的David Pilcher解释说:“十多年来收集的数据如何提供独特的方式来分析并了解哪些要做,哪些不要做。”虽然从ICU出院的病人的数量有所提升,但这些病人还需要恢复和长期护理设施。教授Pilcher说: “虽然我们知道有幸存者,但我们不知道他们的功能水平是什么,也不知是否他们能为自己提供基本的照顾。社区负担和为了离开ICU而需长期照顾产生的花费的影响正成为一个新兴的重要的健康问题。” 在这项研究中,突出显示的死亡率显著减少一直归因于由澳大利亚和新西兰icu协调方法。在1970年代,澳大利亚和新西兰建立了世界上第一个封闭的icu,在那里,一群专职专用专家在医院一天24小时管理重病患者。
         
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