在有身体限制的急诊室进行激动管理:这些患者最终会去哪里?
Erin L Simon1, Courtney M Smalley2, McKinsey Muir3
1Cleveland Clinic Akron General, Department of Emergency Medicine, Akron, Ohio.
The western journal of emergency medicine
|June 6, 2023
概括
大多数需要在急诊室 (ED) 受到身体限制的病人被送往医院. 在那些被录取的人中,大多数人进入医疗楼,而更少的部分人则被送往精神病房.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
- 临床研究 临床研究
背景情况:
- 兴奋是一种常见的急诊室 (ED) 呈现,影响2.6%的患者.
- 在ED中激动管理可以从轻微的不安到严重的攻击性.
- 对于在ED中严重激动的患者,使用物理约束.
研究的目的:
- 为了确定急诊室患者的住院处置,这些患者需要身体限制来控制激动.
- 分析因激动而受到身体限制而管理的患者的入院率和目的地.
主要方法:
- 成年患者接受动荡的身体限制的回顾性队列研究.
- 数据从一个大型综合医疗保健系统中的19个急诊室收集.
- 研究期:2018年1月1日至2020年12月31日.
主要成果:
- 这项研究包括3539名患者.
- 58.8%的患者被送往医院.
- 在入院的患者中,81.4%进入医疗楼,18.6%进入精神病房;41.2%从ED出院.
- 异常的乙醇 (26%) 和毒理学查 (54.6%) 是常见的; 88.4% 接受了二或抗精神病药物.
结论:
- 大多数需要体力约束的患者在ED中被录取.
- 大多数入院患者都被安置在医疗楼层,这表明医疗并发症是入院的主要驱动因素.
- 显著的一小部分入院患者被转送到精神病房,这凸显了对综合护理模式的需求.
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