Investigation on the perception of Wuhan Anesthesia Quality Control Center doctors regarding factors related to Unplanned Intensive Care Unit Admission

ZHANG Yang; PENG Xiaohong; ZHANG Peiru; YU Hui

doi:10.14188/j.1671-8852.2024.0815

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Investigation on the perception of Wuhan Anesthesia Quality Control Center doctors regarding factors related to Unplanned Intensive Care Unit Admission

更新时间：2026-11-05

- Investigation on the perception of Wuhan Anesthesia Quality Control Center doctors regarding factors related to Unplanned Intensive Care Unit Admission
- Medical Journal of Wuhan University Vol. 46, Issue 11, Pages: 1488-1493(2025)
- 作者机构：
  
  1.江汉大学医学部湖北武汉 430056
  2.武汉市第四医院麻醉科湖北武汉 430030
- 作者简介：
- 基金信息：
- DOI：10.14188/j.1671-8852.2024.0815
  CLC： R614
- Received：28 October 2024，
  
  Published：25 November 2025
- 稿件说明：
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张杨,彭晓红,张佩茹等.武汉市麻醉质控中心医师对非计划转入ICU相关因素认知调查分析[J].武汉大学学报（医学版）,2025,46(11):1488-1493.

ZHANG Yang,PENG Xiaohong,ZHANG Peiru,et al.Investigation on the perception of Wuhan Anesthesia Quality Control Center doctors regarding factors related to Unplanned Intensive Care Unit Admission[J].Medical Journal of Wuhan University,2025,46(11):1488-1493.
张杨,彭晓红,张佩茹等.武汉市麻醉质控中心医师对非计划转入ICU相关因素认知调查分析[J].武汉大学学报（医学版）,2025,46(11):1488-1493. DOI： 10.14188/j.1671-8852.2024.0815.

ZHANG Yang,PENG Xiaohong,ZHANG Peiru,et al.Investigation on the perception of Wuhan Anesthesia Quality Control Center doctors regarding factors related to Unplanned Intensive Care Unit Admission[J].Medical Journal of Wuhan University,2025,46(11):1488-1493. DOI： 10.14188/j.1671-8852.2024.0815.

摘要

目的

调查武汉麻醉质控中心平台所属医院麻醉医师对非计划转入ICU的认知情况，分析围术期非计划转入ICU相关因素。

方法

采用问卷的形式对麻醉医师进行调查，主要分为麻醉医师对质控指标的了解程度、非计划转入ICU相关因素、医院科室建设及个人信息四部分。数据以百分比和95%置信区间的形式表示，分类变量使用卡方检验，

0.05则认为差异具有统计学意义，对非计划转入ICU年发生率的变化采用卡方拟合优度分析，可预防性采用

‑

因子分析。

结果

高年资、高级职称的麻醉医师对非计划转入ICU的了解程度和麻醉不良事件上报流程的了解程度较高。二级与三级医院在科室建设方面存在差异性。根据问卷反馈，从麻醉因素、手术因素、患者个体特征、科室建设四个方面整理出与非计划转入ICU有相关性的因素，麻醉医师认为非计划转入ICU与患者个体特征相关性更大，其他依次为手术因素、科室建设因素与麻醉因素。

结论

高级职称与高年资的麻醉医师对非计划转入ICU及上报流程的熟悉程度更高。三级医院在科室建设方面优于二级医院。参与本次问卷调查的麻醉医师认为与非计划转入ICU存在相关性因素有美国麻醉医师协会(ASA)评级高，合并呼吸系统与循环系统性疾病，急诊手术、夜间手术、长时间手术、胃肠外科、心胸血管外科和神经外科手术、医师能力等。

Abstract

Objective

To investigate anesthesiologists' awareness of unplanned ICU admissions and associated risk factors across 39 hospitals within the Wuhan Anesthesia Quality Control Center platform.

Methods

A questionnaire survey was conducted covering four domains: understanding of quality⁃control indicators

risk factors for unplanned ICU admissions

departmental infrastructure

and personal information. Data were presented as percentages with 95% confidence intervals. Chi⁃square tests were used for categorical variables

with

0.05 considered statistically significant. Chi‑square goodness‑of‑fit analysis was used to assess changes in the incidence of unplanned ICU admissions

and

‑

factor analysis was employed for preventive factors.

Results

Anesthesiologists with higher seniority and advanced professional titles had a better understanding of both unplanned ICU admission and the adverse anesthesia event reporting process. There were differences in departmental construction between secondary and tertiary hospitals. Factors related to unplanned ICU admission were categorized into four aspects: anesthesia factors

surgical factors

patient individual characteristics

and departmental construction. Anesthesiologists believe that patient individual characteristics have the greatest relevance to unplanned ICU admission

followed by surgical factors

departmental construction and anesthesia factors.

Conclusion

Anesthesiologists with higher professional titles and more years of experience have a greater familiarity with unplanned ICU admissions and reporting processes. There are significant differences between secondary and tertiary hospitals idepartmental construction. Anesthesiologists participating in this survey identified factors related to unplanned ICU admissions as primarily involving high American Society of Anesthesiologists (ASA) ratings

concurrent respiratory and circulatory system diseases

emergency surgeries

nocturnal surgery

long‑duration surgery

gastrointestinal

thoracic and cardiovascular

and neurosurgery surgery

capabilities.

关键词

Keywords

references

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