Analysis of risk factors for ICU syndrome in critically ill emergency patients
急诊重症患者并发ICU后综合征的危险因素分析

摘要

目的 探讨急诊重症患者并发ICU后综合征（PICS）的危险因素，为预防ICU综合征提供医学指导。方法 选取2021年1月至2022年12月我院收治的70例急诊重症患者为对象，将25例并发PICS患者纳入研究组，另45例未并发PICS的患者列入对照组，观察记录年龄、性别、文化程度、家庭收入、婚姻状况、医疗费用构成、睡眠质量、ICU入住实践、机械通气使用情况、疾病危重程度、吸烟/酗酒等因素对并发ICU后综合征的影响。结果 单因素分析结果显示年龄、睡眠质量、ICU入住时间、机械通气使用情况、疾病危重程度等是急诊重症患者并发ICU后综合征的独立危险因（P<0.05）。结论 急诊重症患者并发PICS与年龄、睡眠质量、入住ICU时间、有创机械通气、疾病危重程度有关，临床上应予以高度重视。

Abstract

Objective To explore the risk factors of post ICU syndrome (PICS) in critically ill emergency patients and provide medical guidance for the prevention of ICU syndrome.
Methods 70 critically ill emergency patients admitted to our hospital from January 2021 to December 2022 were selected as the subjects, 25 patients with PICS were included in the study group, and 45 patients without PICS were included in the control group. Age, gender, education level, family income, marital status, and other factors were observed and recorded The impact of factors such as medical cost composition, sleep quality, ICU admission practice, mechanical ventilation usage, disease severity, smoking/alcohol abuse on the incidence of post-ICU syndrome.
Results Single factor analysis showed age, sleep quality, ICU admission time, mechanical ventilation usage The severity of the disease is an independent risk factor (P<0.05) for postoperative syndrome in critically ill emergency patients.
Conclusion   The incidence of PICS in critically ill emergency patients is related to age, sleep quality, ICU stay time, invasive mechanical ventilation, and disease severity, and should be highly valued in clinical practice.