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美国各地的急救部门使用儿科胃口管
Stephanie E Iantorno1, Jack H Scaife1, Jacoby R Bryce1
1Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
The Journal of surgical research
|December 31, 2023
概括
近一半的儿科胃口管并发症急诊室访问是可以预防的. 改善门诊护理可以减少这些儿童的医疗保健利用率.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 儿童胃口管并发症的急诊室 (ED) 访问是医疗保健的重大负担.
- 许多这些急救诊所的访问是可以预防的,但这个问题的范围在社区医院还不清楚.
研究的目的:
- 为了确定儿童胃口管并发症的ED访问的数量和性质.
- 确定与儿童胃口管问题潜在可预防的急救诊所相关的因素.
主要方法:
- 对2019年全国紧急情况部门样本进行了回顾性横截面分析.
- 包括初级诊断为胃口管并发症的儿科患者 (<18岁).
- 潜在可预防的访问被定义为那些不导致成像,手术或住院住院的访问.
主要成果:
- 分析了32000多次儿童胃口管并发症的急救诊所访问.
- 其中47.3%的访问被认为是可以预防的.
- 黑人和西班牙裔儿童,以及来自较低收入四分之一的儿童,可能会有更高的潜在可预防的访问机会.
结论:
- 儿童胃口管并发症的很大一部分可能是可以预防的.
- 改善门诊管理策略至关重要,以减少不必要的医疗保健利用.
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