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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Survival of patients transferred to tertiary intensive care from rural community hospitals. | Available online http ccforum.eom content 5 2 100 Primary research Survival of patients transferred to tertiary intensive care from rural community hospitals Stephen D Surgenor Howard L Corwin and Terri Clerico Section of Critical Care Medicine Department of Anesthesiology Dartmouth Hitchcock Medical Center Dartmouth Medical School Lebanon New Hampshire USA Correspondence Stephen D Surgenor MD Department of Anesthesiology Dartmouth Hitchcock Medical Center One Medical Center Drive Lebanon NH 03756 USA. Tel 1 603 650 4642 fax 1 603 650 0614 e-mail stephen.d.surgenor@hitchcock.ORG Received 5 May 2000 Revisions requested 17 July 2000 Revisions received 21 December 2000 Accepted 4 January 2001 Published 1 February 2001 Critical Care 2001 5 100-104 2001 Surgenor et al licensee BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Background Accessibility to tertiary intensive care resources differs among hospitals within a rural region. Determining whether accessibility is associated with outcome is important for understanding the role of regionalization when providing critical care to a rural population. Methods In a prospective design we identified and recorded the mortality ratio percentage of unanticipated deaths length of stay in the intensive care unit ICU and survival time of 147 patients transferred directly from other hospitals and 178 transferred from the wards within a rural tertiary-care hospital. Results The two groups did not differ significantly in the characteristics measured. Differences in access to tertiary critical care in this rural region did not affect survival or length of stay after admission to this tertiary ICU. The odds ratio 1.14 95 confidence interval 0.72-1.83 for mortality associated with transfer from a rural community hospital was not statistically significant. Conclusions Patients at community hospitals in this area who develop need for tertiary critical care are just as likely to survive as patients who develop ICU .
