对于状细胞病的急性护理利用率和再住院情况
David C Brousseau1, Pamela L Owens, Andrew L Mosso
1Department of Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA. dbrousse@mcw.edu
JAMA
|April 8, 2010
概括
状细胞病患者经常使用急性护理服务,并且经常被重新入院,特别是年龄在18-30岁的年轻人. 这项研究提供了关键的基于人口的数据,用于状细胞疾病管理的医疗保健利用率.
科学领域:
- 血液学 血液学 血液学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于状细胞病的公布的医疗保健利用率和再住院率缺乏可概括性和基于人口的数据.
- 对状细胞病患者急性护理需求和再接收模式的全面了解有限.
研究的目的:
- 建立针对状细胞病患者急性护理利用率和再住院率的基准数据.
- 为公共卫生策略和资源分配提供信息,用于状细胞病患者护理.
主要方法:
- 对状细胞疾病相关的急诊室 (ED) 访问和住院病人的回顾性队列分析.
- 使用的医疗保健成本和利用计划 (HCUP) 数据来自八个地理分散的州 (2005-2006).
- 包括21,112名状细胞病患者,分析了109,344次急性护理接触.
主要成果:
- 平均每年每位患者有2.59次急症治疗;1.52次住院和1.08次急救访问.
- 在18-30岁和公共保险人群中观察到的使用率最高.
- 30天再住院率为33.4%,18-30岁年龄组为41.1%.
结论:
- 在状细胞病患者中,急性护理的利用和再住院是常见的.
- 年轻成年人 (18-30岁) 和拥有公共保险的人群的发病率最高.
- 调查结果强调需要有针对性的干预措施,以减少急性护理负担并改善结果.
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