在美国医院为肺炎患者提供物理治疗
Joshua K Johnson1,2,3, Daniel L Young4, Ning Guo5
1Department of Physical Medicine and Rehabilitation, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Journal of hospital medicine
|August 21, 2023
概括
物理治疗 (PT) 给 49% 的肺炎患者. 诸如年龄较大,并发病率较高和城市位置等因素增加了PT的可能性,而美国南部的位置和非白人种族则降低了它.
科学领域:
- 医疗保健管理的管理
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 物理疗法 (PT) 在住院患者中的好处是公认的.
- 然而,目前的PT实践模式和各种医院环境中的相关成本仍未得到充分研究.
研究的目的:
- 在肺炎患者中调查与接受PT相关的患者和医院特征.
- 探索美国医院之间的PT服务提供和成本的差异.
主要方法:
- 来自644家美国医院 (2010-2015年) 的行政索赔数据分析.
- 研究了PT接收与患者 (年龄,种族,保险,ICU使用,并发症,LOS) 和医院 (学术地位,农村,规模,位置) 因素之间的关联.
- 评估PT时间,访问频率和成本 (每次访问和每次入院).
主要成果:
- 在768010名肺炎患者中,49%接受了PT.
- 年龄较大 (>80岁),并发病率较高,逗留时间较长 (LOS) 和城市环境与PT概率增加有关.
- 美国南部的地理位置,医疗保险不符合条件和非白人种族与降低PT概率有关.
- 第一次PT访问的中位数日为2;平均访问比例为35%. 每次访问的中位成本为88.90美元,每次入院费用为224.00美元.
结论:
- 临床 (ICU使用,并发症) 和非临床 (年龄,种族,地理位置,农村) 因素都会影响肺炎患者的PT接收.
- 在医院内和医院之间,PT访问频率和相关成本存在显著的变化.
相关概念视频
01:28Pneumonia IV: Management
359
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
359
01:30Pneumonia V: Nursing management and Prevention
2.2K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.2K
01:24Chest Physiotherapy
509
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
509
01:30Pneumonia I: Introduction
268
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
268
01:30Pneumonia III: Complications and Assessment
266
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
266
01:29Pneumonia II: Pathophysiology
336
The pathophysiology of pneumonia involves the following steps:
336