This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research
Jin Tong
The Second Affiliated Hospital of Chongqing Medical University
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Objective: To explore the effects of establishing high dependency unit (HDU) on the prognosis, outcome, and expenditure of patients with severe community acquired pneumonia (SCAP).
Method: Data pertaining to 108 SCAP patients were retrieved from the respiratory intensive care unit (RICU) of the Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. Of these, 87 qualified the study-selection criteria and were divided into HDU group (treated in HDU after discharge from RICU prior to transfer to normal unit) (n=40) and normal group (not treated in the HDU) (n=47). General condition of patients, APACHE II and SOFA scores, duration of mechanical ventilation, hospital infection, intensive care unit syndrome, length of stay, and expenditure were compared between the two groups.
Outcome: There was no significant between-group difference with respect to noninvasive ventilation time, oxygenation index, or APACHE II and SOFA scores at admission or discharge from RICU (P>0.05). Fourteen patients in the HDU group received invasive ventilation; the mean invasive ventilation time (176±160 h) was not significantly different from that in the normal group (206±179 h). The period of sequential noninvasive ventilation in the HDU group (135±82 h) was significantly shorter than that in the normal group (274±182 h, P<0.05). HDU group had shorter length of stay in hospital and RICU, and incurred lesser expenditure than patients in the normal group (P<0.05).
Conclusion: Patients in HDU group had almost the same therapeutic effect with shorter length of stay in hospital and RICU, and lesser expenditure.
Keywords
severe community acquired pneumonia (SCAP), high dependency unit (HDU), prognosis, length of stay
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research
Jin Tong
The Second Affiliated Hospital of Chongqing Medical University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 17 Sep, 2021
Community comments: 1
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Pulmonology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Objective: To explore the effects of establishing high dependency unit (HDU) on the prognosis, outcome, and expenditure of patients with severe community acquired pneumonia (SCAP).
Method: Data pertaining to 108 SCAP patients were retrieved from the respiratory intensive care unit (RICU) of the Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. Of these, 87 qualified the study-selection criteria and were divided into HDU group (treated in HDU after discharge from RICU prior to transfer to normal unit) (n=40) and normal group (not treated in the HDU) (n=47). General condition of patients, APACHE II and SOFA scores, duration of mechanical ventilation, hospital infection, intensive care unit syndrome, length of stay, and expenditure were compared between the two groups.
Outcome: There was no significant between-group difference with respect to noninvasive ventilation time, oxygenation index, or APACHE II and SOFA scores at admission or discharge from RICU (P>0.05). Fourteen patients in the HDU group received invasive ventilation; the mean invasive ventilation time (176±160 h) was not significantly different from that in the normal group (206±179 h). The period of sequential noninvasive ventilation in the HDU group (135±82 h) was significantly shorter than that in the normal group (274±182 h, P<0.05). HDU group had shorter length of stay in hospital and RICU, and incurred lesser expenditure than patients in the normal group (P<0.05).
Conclusion: Patients in HDU group had almost the same therapeutic effect with shorter length of stay in hospital and RICU, and lesser expenditure.
Figure 1
Figure 2
Figure 3
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