在急诊室治疗,管理和耳鼻喉科咨询:一个机构经验
Daniel Jacobs1, Vickie J Wang2, Janet R Chao1
1Division of Otolaryngology, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
American journal of rhinology & allergy
|December 29, 2023
概括
对于鼻血 (鼻血) 的急诊室访问通常涉及耳鼻喉科 (ENT) 咨询. 许多转诊患者没有改变管理,这表明需要改善护理途径.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 耳鼻喉术 (ENT) 是急诊室 (ED) 访问的常见原因,占耳鼻喉科 (ENT) 相关遭遇的很大一部分.
- 在美国,每年大约每200次ED诊所中就有1次用于表.
研究的目的:
- 为了调查ED中LNT咨询Epistaxis的原因.
- 评估 ENT 咨询对患者管理和随访模式的影响.
- 评估对患者的护理,将患者转交给ED进行表.
主要方法:
- 在第三级护理ED (2017-2018) 中,对592名成人表患者的回顾性图表审查.
- 纳入标准:已知的随访,耳鼻科医生咨询或入院;排除标准:创伤,最近的头手术,异常解剖.
- 分析的重点是咨询的原因,管理层的变化和人口差异.
主要成果:
- 耳鼻科医生咨询发生在48.2%的ED表病例中,通常用于高级管理或转诊.
- 咨询与鼻塞 (92.4%与36.1%) 的可能性增加有关.
- 40.4%的转诊患者在咨询后没有管理变化;转诊和白人患者更有可能接受咨询,白人患者有更好的耳鼻喉门诊护理.
结论:
- 相当数量的转诊表术患者在耳鼻科医生咨询后没有改变干预措施,这凸显了需要改进的临床途径的需要.
- 白人和非白人的患者群体之间可能存在耳鼻喉医疗护理的差异.
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