了解老年护理机构居民的临床形状和住院模式:维多利亚地区医院研究
Ali Uthuman1,2, Tae H Kim3, Dinglin Gu4
1Department of Rural Health, University of Melbourne, Shepparton, AUS.
Cureus
|August 31, 2023
概括
住院老年护理机构的居民经常访问急诊室,男性的代表率更高. 近一半的这些访问导致住院,强调了针对这一弱势群体进行有针对性的干预和改进医疗保健策略的需要.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 住院养老机构 (RACF) 的居民是具有复杂健康需求的弱势群体.
- 由于RACF的急诊室 (ED) 呈现和入院的高率,造成了医疗保健资源的压力.
- 迫切需要有效的策略来减少这些演示和录取.
研究的目的:
- 评估区域性环境中RACF居民中ED表现和住院病例的流行率.
- 调查这些住院的原因和结果.
- 评估该群体中记录的高级护理指令 (ACD) 的流行程度.
主要方法:
- 在高尔本山谷健康ED (310名RACF患者) 的467例ED病例的回顾性分析 (2022年1月至6月).
- 收集关于人口统计,ACD状态,表现特征和入院原因的数据.
- 统计分析包括推断测试和后勤回归 (p<0.05显著性).
主要成果:
- RACF居民占ED总访问的2.28%;48.2%的演示导致入院.
- 男性的性别与ED代表性增加 (p=0.0422) 和入院患者的ED停留时间更长 (p<0.0001) 相相关.
- 42.9%的患者没有记录的ACD;ACD存在与ED表现或结果之间没有发现显著的关联.
结论:
- RACF居民,特别是男性,大量使用ED服务,其中很大一部分需要住院治疗.
- 高的入院率强调了这些演示的关键性质和需要有效的医院利用策略.
- 在相当一部分队列中没有ACD,因此需要进一步调查,同时需要针对性别的干预措施和与跌倒相关的呈现管理.
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