与喘相关的紧急住院和相关的医疗保健资源使用在加拿大阿尔伯塔省
Irvin Mayers1, Arsh Randhawa2, Christina Qian3
1Division of Pulmonary Medicine, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada imayers@ualberta.ca.
BMJ open respiratory research
|November 1, 2023
概括
从急诊室 (ED) 出院的喘患者的随访率较低,再入院风险较高. 需要改进护理策略,以优化喘管理并降低医疗保健成本.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 现实世界的证据.
背景情况:
- 有限的真实世界数据存在于喘管理后急诊部 (ED) 排放.
- 了解后续护理,医疗保健资源利用率 (HCRU) 和成本对于改善患者结果至关重要.
研究的目的:
- 描述喘相关ED入院后的随访护理模式.
- 评估医疗保健资源的使用和相关的医疗费用,在放学后的时期.
- 根据患者的喘发病严重程度对发现进行分层.
主要方法:
- 以阿尔伯塔省卫生服务部门的纵向,基于人口的行政数据为依据的回顾性队列研究.
- 包括患有喘的成年人,在2015年4月1日至2020年3月31日期间至少有一次ED入院.
- 分析了ED入院,门诊,住院和退院后90天内药物使用情况,并比较了入院前的数据.
主要成果:
- 观察到高的ED再入院率:10%在7天内和35%在90天内,随着疾病的严重程度而增加.
- 门诊随访率较低:尽管有建议,但仅有6%的患者在ED出院后7天内接受治疗.
- 平均医疗费用相当高,每位患者在30天内入院前为C8143美元,入院后为C5407美元.
结论:
- 对于ED出院后喘患者推的门诊随访护理存在重大差距.
- 高的ED再接收率强调了需要加强,多维的后续战略.
- 优化喘控制和预防再入院需要综合的治疗方法.
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