根据紧急严重性指数,低于和超标的相关因素; 一个回顾性的跨部分研究
Thongpitak Huabbangyang1, Rapeeporn Rojsaengroeng2, Gawin Tiyawat1
1Department of Disaster and Emergency Medical Operation, Faculty of Science and Health Technology, Navamindradhiraj University, Bangkok, Thailand.
在急诊室,过量选发生的频率高于不足选. 年轻的患者和创伤患者更有可能过度选,而年轻的年龄与选不足有关.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 在急诊室 (EDs) 中,不足选和过量选带来了重大风险,影响了患者的治疗结果和资源分配.
- 紧急严重性指数 (ESI) 是一种广泛使用的分类系统,用于分类患者的急性.
研究的目的:
- 为了确定在ED设置中的低分类和过分分类率.
- 使用ESI系统,识别与低分类和过分分类相关的因素.
主要方法:
- 一项回顾性横截面研究分析了2019年9个月的1000例ED患者分拣病例.
- 使用ESI版本4的选护士评估被三名急诊医生重新评估,以确定准确性,不足选和过量选率.
- 统计分析确定了与分拣差异相关的因素.
主要成果:
- 分离精度为69.1%,低分离为4.9%,过分分离为26.0%.
- 过度选与年龄较小 (18-30岁),创伤,晚班,住院和严重疼痛显著相关.
- 年龄较小 (18-30岁) 与较年长 (≥65岁) 患者相比,也与低位显著相关.
结论:
- 在研究的ED中,过量选比不足选更为普遍.
- 影响过度选的因素包括年轻的年龄,创伤,到达时间,入院状态和疼痛严重程度.
- 较年轻的患者年龄成为与低选相关的唯一确定因素.
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