在头部创伤后的现代再入院率
Ryan J Keneally1, Eric R Heinz1, Robert Young2
1Department of Anesthesiology, George Washington University, Washington, DC, USA.
概括
头部创伤患者的30天再入院率为5.0%,低于之前报告的水平. 针对年轻男性和老年患者的干预措施可能会减少头部创伤再入院.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 以前的报道显示,使用2014年的数据,头部创伤患者的再入院率为8.9%.
- 这项研究旨在通过2019年更具体的ICD-10代码重新评估头部创伤再入院率.
- 目的是确定与再接收相关的因素,以告知有针对性的干预措施.
研究的目的:
- 为了确定目前头部创伤患者的30天再入院率.
- 确定与头部创伤再入院相关的人口和临床因素.
- 提出基于证据的干预措施,以减少头部创伤的再入院.
主要方法:
- 对2019年国家再接收数据库的分析,针对ICD-10代码表明头部创伤的患者.
- 重新入院的定义是从初次入院后的30天内发生.
- 使用千平方,曼-惠特尼等级和多变量逻辑回归进行统计比较.
主要成果:
- 头部创伤的30天再入院率为5.0%.
- 在男性 (5.6%) 和65岁及以上 (5.8%) 患者中观察到更高的再入院率.
- 与再接收增加相关的因素包括多重伤害,违背医疗建议出院以及政府保险.
结论:
- 30天头部创伤重收率显著下降.
- 对于年轻男性的经验性抗药物和老年患者的抗生素等干预措施需要进行调查.
- 通过解决诸如违背医疗建议出院等因素,可以改善减少再入院.
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