经常出现在急诊室的临床和纵向模式:一个多中心数据链接分析
Dorota Stanford1, Michael M Dinh1,2, John G Eastwood3,4
1Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, New South Wales, Australia.
Emergency medicine Australasia : EMA
|January 3, 2024
概括
频繁的急诊室 (ED) 用户有心理健康,毒品和酒精 (MHDAS) 问题有不同的代表模式. 对于那些不等待治疗的人来说,早期干预对于防止持续使用ED至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 频繁的急诊室 (ED) 演讲者对医疗保健系统构成重大负担.
- 了解这些患者的临床特征和纵向模式对于有效的资源配置和干预开发至关重要.
研究的目的:
- 描述经常出现ED的患者的临床特征.
- 分析频繁使用ED的人群中的纵向表示模式.
- 为了确定与ED呈现增加相关的风险因素.
主要方法:
- 从三家医院定期收集的ED数据的回顾性分析.
- 包括在365天内 (从2015年7月至2021年6月) 出现10次或更多ED症状的患者.
- 将患者分为心理健康,药物和酒精或社会呈现 (MHDAS) 组和非MHDAS组.
主要成果:
- 经常出现ED患者 (1640名患者) 占ED总访问的4.6%.
- 而MHDAS组更年轻,更有可能结婚,入院率更低,更有可能不等待治疗.
- 观察到显著的差异呈现集群,设施,ED呈现的数量,和群体之间的社会经济地位.
结论:
- 与非MHDAS组相比,患有MHDAS问题的患者表现出不同的代表轨迹.
- 越来越多的展示和聚类预测了未来ED的使用.
- 不等待治疗的个人代表了持续使用ED的高风险群体,需要有针对性的早期干预.
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