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The impact of daylight and window views on length of stay among patients with heart disease:A retrospective study in a cardiac intensive care unit

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Journal of Intensive Medicine 2023年第2期3卷 155-164页

作者： roxana jafarifiroozabadi Anjali Joseph William Bridges Andrea Franks College of Architecture and Design Lawrence Technological UniversitySouthfieldMI 48075USA Spartanburg Regional Healthcare System Endowed Chair in Architecture+Health Design Clemson UniversityClemsonSC 29634USA Center for Health Facilities Design and Testing Clemson UniversityClemsonSC 29634USA School of Architecture Clemson UniversityClemsonSC 29634USA Industrial Engineering Clemson UniversityClemsonSC 29634USA School of Mathematical and Statistical Sciences Clemson UniversityClemsonSC 29634USA Clinical and Nursing Research AnMed HealthAndersonSC 29621USA

Background:Heart disease is the leading cause of death in the United *** length of stay(LOS)is a well-established parameter used to evaluate health outcomes among critically ill patients with heart disease in cardiac intensive care units(CICUs).While evidence suggests that the presence of daylight and window views can positively influence patients’LOS,no studies to date have differentiated the impact of daylight from window views on heart disease ***,existing research studies on the impact of daylight and window views have failed to account for key clinical and demographic variables that can impact the benefit of such interventions in ***:This retrospective study investigated the impact of access to daylight *** views on CICU patients'*** study CICU is located in a hospital in the southeast United States and has rooms of the same size with different types of access to daylight and window views,including rooms with daylight and window views(with the patient bed located parallel to full-height,south-facing windows),rooms with daylight and no window views(with the patient bed located perpendicular to the windows),and windowless *** from electronic health records(EHRs)for the time-period September 2015 to September 2019(n=2936)were analyzed to investigate the impact of room type on patients’CICU *** regression models were developed for the outcome of interest,controlling for potential confounding ***:Ultimately,2319 patients were finally included in the study *** indicated that patients receiving mechanical ventilation in rooms with access to daylight and window views had shorter LOS durations(16.8 h)than those in windowless *** analysis for a subset of patients with LOS≤3 days revealed that parallel bed placement to the windows and providing access to both daylight and window views significantly reduced their LOS compared to windowless rooms in the unit(P=0.007).Also,parallel b

关键词： Heart disease Daylight Window views Length of stay Cardiac intensive care unit

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