紧急护理与急诊室对足部和脚骨折的利用
Meera M Dhodapkar1, Michael J Gouzoulis, Scott J Halperin
1From the Yale Department of Orthopaedics and Rehabilitation, New Haven, CT.
概括
少数但越来越多的足骨折患者在急诊中心接受治疗,而不是急诊室 (ED). 保险和地区,而不是伤害类型,对患者接受护理的位置的影响最大.
科学领域:
- 整形外科 整形外科 整形外科
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 脚和脚骨折是常见的伤害,需要立即医疗照顾.
- 应急部门 (ED) 处理大多数这些病例,但也利用紧急护理设施.
- 了解护理环境可以优化患者的治疗途径和成本.
研究的目的:
- 分析足骨折管理的趋势和预测因素在紧急护理与ED设置.
- 确定影响患者在紧急护理和这些伤害的ED之间选择的因素.
主要方法:
- 使用2010-2020年PearlDiver数据库进行的回顾性队列研究.
- 包括成年患者 (65岁以下) 患有孤立的脚和脚骨折,不包括多创伤和医疗保险.
- 使用多变量回归分析了紧急护理与ED利用率.
主要成果:
- 分析了超过110万名患者;急诊次数从2.2%增加到4.4% (2010-2020年).
- 紧急护理的关键预测因素包括商业保险 (OR 8.03),东北地区 (OR 3.55),前脚骨折 (OR 3.45) 和关闭骨折 (OR 2.20).
- 诸如保险和地区等非临床因素比骨折类型更强有力的预测因素.
结论:
- 越来越少的足部和脚骨折在紧急护理机构接受治疗.
- 保险类型和地理区域显著影响护理设置的选择,而不是伤害的具体情况.
- 这些非临床因素突出了优化获得护理途径的机会.
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