小儿危重病例评分在儿科重症监护病房转出决策中的应用  

Application of Pediatric Clinical Illness Score in the PICU Evacuation Decision

作　　者：邱慧明[1] 黄昀[1] 

机构地区：[1]浙江省湖州市中心医院儿科,313000

出　　处：《中国全科医学》2012年第2期205-206,共2页Chinese General Practice

摘　　要：目的探讨小儿危重病例评分(PCIS)在儿科重症监护病房(PICU)转出决策中的应用及其与患儿预后及费用的关系。方法对本院2007—2008年PICU转至普通病房的277例患儿的临床资料进行回顾性PCIS评估,根据转出PICU时的PCIS分值分成3组,分别进行预后及总费用比较。结果 70～79分组患儿重回PICU率最高(24.24%),明显高于80～89分组(7.28%)和90～99分组(6.67%),差异有统计学意义(P<0.01);80～89分组和90～99分组比较差异无统计学意义(P>0.05)。80～89分组总住院时间最短(34±13)d,总住院费用最少〔(44 151±5 662)元〕,差异均有统计学意义(P<0.05)。结论 PCIS评分在判断患儿转出PICU、降低总住院费用中效果良好,可作为PICU转出决策的重要参考标准。Objective To investigate the relationship among prognosis,total cost and the application of pediatric clinical illness scores（PCIS） in PICU evacuation decision.Methods Retrospective PICU evaluation was carried out in 277 patients evacuated from PICU from 2007 to 2008.All the patients were divided into three groups according to PCIS scores with the prognosis and total cost compared.Results The rate of re-admission to PICU was the highest in the 70～79 group（24.24%）（P0.01）.No difference was noted between the 80～89 group and the 90～99 group（P0.05）.Total hospitalization time was the shortest in the 80～89 group,and the total cost was the shortest in the 80～89 group（P0.05）.Conclusion The application of the PCIS scoring system in helps with the cost decrease,which makes it an important reference during the decision making of PICU evacuation.

关 键 词：重症监护病房 儿科 危重病 决策 

分 类 号：R473.52[医药卫生—护理学]