从急诊室到熟练护理机构的护理过渡:回顾性病例控制研究
Alec P Tolentino1, Kelli S Gaus2, Yingqiu Gao3
1Department of Emergency Medicine School of Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
Journal of the American College of Emergency Physicians open
|September 4, 2023
概括
直接将急诊室 (ED) 患者转移到熟练护理设施 (SNF) 显著增加ED停留时间 (LOS). 这种转变可能会加剧ED过度拥挤,并影响患者的健康结果.
科学领域:
- 医疗保健管理健康管理
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
背景情况:
- 由于COVID-19大流行,有豁免,允许紧急部门 (ED) 直接转移到熟练护理机构 (SNF),绕过传统的住院时间.
- 这一政策变化旨在缓解医院容量问题,但也引发了有关其对ED手术和患者流动的影响的问题.
研究的目的:
- 分析ED-to-SNF直接过渡和ED停留时间 (LOS) 之间的关联.
- 调查健康的社会决定因素 (SDOH) 对ED到SNF过渡参数的影响.
主要方法:
- 一项回顾性病例控制研究比较了从ED直接过渡到SNF的成年患者 (n=27) 与那些首先因SNF安置而入院的患者 (n=54).
- 从2020年3月至2022年3月期间,从北卡罗来纳大学医院ED收集了数据.
主要成果:
- 与ED-to-Inpatient-to-SNF组 (14.5小时) 相比,直接ED-to-SNF组的ED LOS (72.8小时) 显著更长.
- 两组之间没有观察到健康的社会决定因素的显著差异.
结论:
- 直接从ED到SNF的过渡与长时间的ED停留有关,可能会加剧ED登机和拥挤.
- 对这些患者来说,更长的ED LOS可能会对他们的健康和福祉产生负面影响.
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