혈액종양 중환자실 환자의 임상적 고찰 (Clinical Study of Hematology Patients in Intensive Care Units)

서지정보

· 발행기관 : 병원간호사회
· 수록지 정보 : 임상간호연구 / 20권 / 3호 / 384 ~ 394페이지
· 저자명 : 임정인, 김형순, 유리알, 김은희, 공효영

초록

Purpose: 연구는 중환자실에 입실한 혈액종양환자의 입실원인과 사망률, 사망원인, 질환상태, 치료과정을 분석하여 전문적인 Hematology Patient ICU care를 위한 기초조사를 제공하기 위함이다. Methods: 서울소재 종합병원 Hematology ICU에 입실한 환자 559명을 대상으로 IRB 심의를 거친 후향적 조사연구이며 수집된 자료는 SAS program을 이용하여 분석하였다. Results: CU 입실원인과 사망원원인은 Pneumonia, Sepsis순이었으며 퇴실상태는 사망 53.5%, 회복 39.9%, Hopeless 5%순이었다. IR 상태의 환자의 사망률이 CR상태의 환자와 MM, SAA, Lymphoma로 치료받는 환자보다 높았다. Pneumonia, Sepsis로 입실한 환자와 Ventilator, CRRT, 승압제 ,CPCR을 시행한 환자의 사망률이 높았다. Conclusion: 혈액종양환자는 Pneumonia, Sepsis의 원인으로 ICU에 입실하고 사망하며 사망률은 53.5%로 IR상태의 환자, Ventilator, CRRT를 시행한 환자의 사망률이 높았다

영어초록

Purpose: To improve professional intensive care by analyzing admission causes, causes of death, diseaseconditions, and treatment processes in patients with hematological malignancies admitted to intensive careunits (ICUs) in South Korea. Methods: This was a retrospective study approved by IRB, and conducted onadmission with 559 adults, in the hematology ICU of a hospital located in Seoul. The study was carried out fromApril 2009 to March 2012. Data were analyzed using SAS. Results: Pneumonia was the most frequent causeof ICU admission and death, followed by sepsis. The condition at discharge was death (53.6%), recovery(39.9%), or hopeless (5.1%). Mortality of patients in states of incomplete remission was higher than that ofpatients with complete remission and of patients with multiple myeloma, severe aplastic anemia, andlymphoma. Conclusion: Results show that pneumonia and sepsis are the most frequent causes of ICUadmission and for the death of patients with hematological malignancies. The most frequent status at dischargeof patients with hematological malignancies was death (53.6%), with mortality of patients at IncompleteRemission status, of mechanically ventilated patients, and of patients on continuous renal replacement therapy(CRRT) being higher than others.

참고자료

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