伴随性疾病指数是否预测OPAT的再接收?
Ryan D Stubbs1, Robert J Shorten2, Valerio Benedetto3
1Faculty of Biology, Medicine and Health, University of Manchester, Oxford Road, Manchester M13 9PL, UK.
查尔森并发症指数 (CCI) 可能有助于预测接受门诊亲肠道抗菌药物治疗 (OPAT) 的患者意外住院的情况. 较高的CCI分数与再接收风险的增加有关,尽管在统计学上并不显著.
科学领域:
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
- 临床流行病学临床流行病学
背景情况:
- 门诊亲肠道抗菌疗法 (OPAT) 对于管理复杂感染至关重要.
- 预测OPAT患者的意外再入院对于资源配置和患者护理至关重要.
- 查尔森并发症指数 (CCI) 是一种广泛用于衡量并发症负担的指标.
研究的目的:
- 评估查尔森并发症指数 (CCI) 作为在接受门诊亲肠道抗菌疗法 (OPAT) 的患者中预测计划外再入院的预测指标.
主要方法:
- 在2019-2021年期间接受OPAT治疗的741名患者的回顾性分析.
- 不计划住院的分类是与OPAT相关的和与OPAT无关的.
- 计算CCI分数和后勤回归分析,以确定再接收的风险因素.
主要成果:
- 15.1%的患者经历了无计划的再入院.
- 与未被重新录取的患者 (3.30) 相比,重新录取的患者 (4.22为OPAT相关,4.89为非OPAT相关) 的平均CCI更高.
- 增加的CCI,年龄和男性性别与更高的再接收率有关,但没有达到统计学意义.
结论:
- 较高的CCI得分表明OPAT患者的计划外住院风险可能增加.
- 中央医疗机构可以为OPAT服务的未来患者选择提供信息.
- 需要进一步的研究来验证CCI在OPAT设置中的预测价值.
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