Correlation between the timing of admission to emergency room and prognosis of patients with respiratory failure

ObjectiveTo investigate the correlation between the timing of admission to emergency room and prognosis of patients with respiratory failure, to provide reference for clinical emergency rescue.

MethodsOne hundred and two patients with respiratory failure from 2012 to 2015 were divided into the observation group(60 cases entering the emergency room at statutory workday) and control group(42 cases entering the emergency room at rest day).The basic information, rescue success rate, score of acute physiology and chronic health evaluation(APACHEⅡ) and patient outcome between two groups were compared.

ResultsIn observation group, 47 cases were successfully rescued, 13 cases failed, and the rescue success rate was 78.33%.In control group, 31 cases were successfully rescued, 11 cases failed, and the rescue success rate was 73.81%.The difference of the rescue success rate between two groups was not statistically significant(P>0.05).Among 102 patients, 78 cases survived, 24 cases died, and the blood index, APACHE Ⅱ score in survival group were significantly better than that in death group(P < 0.01).The APACHEⅡ score=20 poing was set as critical point, the difference of the survival rate between two groups was not statistically significant at APACHEⅡ score < 20 points(P>0.05), and the survival rate in observation group was significantly higher than that in control group at APACHEⅡ score ≥ 20 points(P < 0.01).

ConclusionsThe timing of admission to emergency room is correlated with the prognosis of patients with respiratory failure, especial for the APACHE Ⅱ score ≥ 20 points, and entering the resuscitation room at workday, the prognosis of patients is better than that at rest day, and which should be paid attention to in clinic.