机构：[1]Medical Intensive Care Unit, Peking Union Medical College Hospital, Beijing, People’s Republic of China[2]Department of Critical Care Medicine, Peking University People’s Hospital, Beijing, People’s Republic of China[3]Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, People’s Republic of China四川大学华西医院[4]Department of Critical Care Medicine, First Affiliated Hospital, Xinjiang Medical University, Urumqi, People’s Republic of China[5]Department of Critical Care Medicine, The First Affiliated Hospital, Harbin Medical University, Harbin, People’s Republic of China[6]Department of Critical Care Medicine, The First Affiliated Hospital of China Medical University, Shenyang, People’s Republic of China[7]Department of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, People’s Republic of China[8]Department of Critical Care Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing, People’s Republic of China首都医科大学附属同仁医院[9]Department of Emergency and Critical Care Medicine, The Second Hospital of Jilin University, Changchun, People’s Republic of China[10]Department of Emergency Medicine, The First Affiliated Hospital of Kunming Medical College, Kunming, People’s Republic of China内科科室急诊医学科昆明医科大学附属第一医院[11]Department of Critical Care Medicine, Qilu Hospital, Shandong University, Jinan, People’s Republic of China[12]Department of Critical Care Medicine, Zhejiang Provincial People’s Hospital, Hangzhou, People’s Republic of China[13]Department of Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, People’s Republic of China华中科技大学同济医学院附属同济医院[14]Department of Critical Care Medicine, Hebei Medical University FourthHospital, Shijiazhuang, People’s Republic of China河北医科大学第四医院[15]Department of Critical Care Medicine, Affiliated Hospital of Ningxia Medical University, Yinchuan, People’s Republic of China[16]Department of Critical Care Medicine, The First Affiliated Hospital, Chongqing Medical University, Yuanjiagang, Chongqing, People’s Republic of China外科系统重症医学科重庆医科大学附属第一医院[17]Department of Critical Care Medicine, Fuxing Hospital, Capital Medical University, Beijing, People’s Republic of China[18]Department of Critical Care Medicine, The First Affiliated Hospital of Fujian Medical University, Fuzhou, People’s Republic of China[19]Department of Emergency Medicine, Ruijin Hospital, Shanghai Jiao Tong University, Shanghai, People’s Republic of China[20]Department of Critical Care Medicine, Guangdong General Hospital, Guangzhou, People’s Republic of China其他科室急危重症医学部广东省人民医院[21]Department of Critical Care Medicine, Hainan Provincial People’s Hospital, Haikou, People’s Republic of China[22]Department of Critical Care Medicine, The Affiliated Hospital of Inner Mongolia Medical College, Huhhot, People’s Republic of China
Objectives: We sought to describe the demographics, case mix, interventions, and clinical outcome of critically ill patients admitted to ICUs in Mainland China. Design: A 2-month (July 1, 2009, to August 31, 2009) prospective, observational cohort study. Setting: Twenty-two ICUs in Mainland China. Patients: Adult patients admitted to participating ICUs during the study period with an ICU length of stay >24 hrs. Interventions: None. Measurements and Main Results: Patient characteristics, including demographics, underlying diseases, severity of illness, admission status, complications, intervention and treatment during ICU stay, and clinical outcome were recorded in case report form. The primary outcome measure was all-cause hospital mortality. Independent predictors for hospital mortality were determined with multivariate logistic regression analysis. One thousand two hundred ninety-seven patients met the inclusion criteria for the study, 821 (63.3%) were male, and mean age was 58.5 +/- 19.2 yrs. Mean Acute Physiology and Chronic Health Evaluation II score was 18.0 +/- 8.1, and mean Sequential Organ Failure Assessment score was 65 +/- 3.8. One third of the patients were postoperative ICU admissions. Seven hundred sixty-five patients (59.0%) developed infections, followed by severe sepsis or septic shock (484, 37.3%), acute kidney injury (398, 30.7%), and acute lung injury/acute respiratory distress syndrome (351, 27.1%). Mechanical ventilation was used in almost three fourths of the patients, whereas any type of renal replacement therapy was used in 173 patients (13.3%). Hospital mortality was 20.3%. Multivariate logistic regression analysis found that Acute Physiology and Chronic Health Evaluation II score, solid tumor, severe sepsis/septic shock, acute lung injury/acute respiratory distress syndrome, and acute kidney injury were independent risk factors for hospital mortality. Conclusions: Critically ill patients in ICUs in Mainland China exhibited a case mix similar to those of Western countries, although there are significant differences in intensive care unit admission rates and disease severity between Western and Chinese ICUs. (Crit Care Med 2013; 41:84-92)
第一作者机构：[1]Medical Intensive Care Unit, Peking Union Medical College Hospital, Beijing, People’s Republic of China
通讯作者：
推荐引用方式(GB/T 7714)：
Du Bin,An Youzhong,Kang Yan,et al.Characteristics of Critically Ill Patients in ICUs in Mainland China[J].CRITICAL CARE MEDICINE.2013,41(1):84-92.doi:10.1097/CCM.0b013e31826a4082.
APA：
Du, Bin,An, Youzhong,Kang, Yan,Yu, Xiangyou,Zhao, Mingyan...&for the China Critical Care Clinical Trial Group.(2013).Characteristics of Critically Ill Patients in ICUs in Mainland China.CRITICAL CARE MEDICINE,41,(1)
MLA：
Du, Bin,et al."Characteristics of Critically Ill Patients in ICUs in Mainland China".CRITICAL CARE MEDICINE 41..1(2013):84-92
医学