Abstract：
Unplanned admission to an intensive care unit (ICU) is a trauma quality improvement indicator associated with increased morbidity, mortality, and hospital resource usage. We identified demographics, injuries, and other clinical factors between early ICU admission, <72 hrs after admission (EAd), and delayed admission, >72 hrs (DelAd) from a medical/surgical floor. 146 trauma patients admitted to ICU at a level 1 trauma center from January 2020 to March 2023 met inclusion criteria and were divided into EAd and DelAd. No statistical differences in injury mechanism or severity were observed. Delayed admission demonstrated higher mortality (P = .001), more frequent decline in GCS (P = .045), and initiation of anticoagulation (P = .002). Abnormal EKG, orthopedic surgery during admission, and home anticoagulant and antidepressant use were statistically significant in identifying patients requiring early ICU admission.
摘要：
计划外入住重症监护病房（ICU）是与发病率增加相关的创伤质量改善指标。死亡率,和医院资源的使用。我们确定了人口统计，受伤,以及早期入住ICU之间的其他临床因素，入院后<72小时（EAd），和延迟入学，>72小时（DelAd）从医疗/外科地板。从2020年1月至2023年3月，在1级创伤中心入住ICU的146例创伤患者符合纳入标准，分为EAd和DelAd。没有观察到损伤机制或严重程度的统计学差异。延迟入院表现出更高的死亡率（P=0.001），GCS下降更频繁（P=.045），开始抗凝治疗（P=0.002）。异常心电图,入院期间的骨科手术，在识别需要早期ICU入住的患者方面,家庭抗凝剂和抗抑郁药的使用具有统计学意义.
