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社会文化和人口因素预测一般外科病人的再录取情况
Joshua G Kovoor1,2,3, Stephen Bacchi4,5, Aashray K Gupta6,7
1Department of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South, SA, Australia.
社会文化因素,如主要的语言和宗教,以及年龄和并发症负担,预测一般手术再接收. 了解这些因素可以改善术后护理模式.
科学领域:
- 医疗保健研究 医疗保健研究
- 外科手术的结果
- 患者的人口统计数据
背景情况:
- 医院再接收对患者和医疗保健系统来说是一个巨大的负担.
- 一般手术患者的再入院预测因素,特别是社会文化和人口因素,需要进一步澄清.
研究的目的:
- 调查社会文化,人口特征和临床参数与一般外科病人的7日和30日再入院率之间的关联.
- 识别关键预测因素,这些预测因素可以为减少再入院的目标干预提供信息.
主要方法:
- 一个多中心的回顾性队列研究包括12701名全科手术患者.
- 后勤回归分析评估了社会文化,人口和临床变量 (绝对值和变化) 与再接收结果.
- 共同发病负担是使用查尔森共同发病指数来评估的.
主要成果:
- 整体再接收率为2.4%在7天内和7.3%在30天内.
- 年龄与7天的再入院相关;在考虑绝对临床值时,主要语言和宗教预测了30天的再入院.
- 主要语言,宗教和并发症负担是30天再入院的重要预测因素,特别是在控制临床参数变化时.
结论:
- 社会文化因素 (主要语言,宗教) 和人口因素 (年龄,并发症负担) 是一般手术后再入院的重要预测因素.
- 这些发现凸显了对术后护理模型的需求,这些模型将跨医疗保健学科的生物心理社会方面纳入.
- 实施综合护理模式可能会降低再接收率并改善患者的治疗结果.
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