在养老院居民中,急救部门资源利用率,全国跨部门研究
Peter T Serina1, Chuyun Xu2, Janette Baird2
1Brown University, Center for Gerontology and Healthcare Research, Providence, RI, USA; Brown University Warren Alpert Medical School, Department of Emergency Medicine, Providence, RI, USA.
The American journal of emergency medicine
|January 19, 2024
概括
65岁以上的养老院居民更频繁地使用急诊室 (ED),更有可能被送往医院. 这些发现强调了需要有针对性的干预措施,以改善对这一弱势群体的ED护理.
科学领域:
- 老年医学 老年医学
- 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:
- 老年人,特别是养老院 (NH) 居民,不成比例地进入急诊室 (ED) 并消耗大量的医疗资源.
- 了解当前的医疗保健利用和处置模式对于ED的NH居民至关重要,以优化护理.
研究的目的:
- 为美国 (美国) 养老院居民向急诊部提交的医疗保健利用模式和处置决定提供当代描述.
主要方法:
- 利用了2017-2019年国家医院门诊医疗调查 (NHAMCS) 数据,用于向美国EDs提交的老年人.
- 在NH居民和非NH居民之间比较人口,临床,资源使用和结果特征.
- 分析了使用加权调查数据的成像,药物,干预和结果的频率.
主要成果:
- 国民公路居民占老年ED访问的6.5% (每年1,579,916次).
- 与非NH居民相比,NH居民年龄较大,接受了更多的成像 (82.8%与71.6%相比),接受了更少的潜在不适当药物 (PIMs) (9.5%与17.1%相比),并且住院率更高 (44.1%与26.0%相比).
- 这些差异具有统计学意义 (p<0.05).
结论:
- 访问ED的老年NH居民使用更多的资源,并且比非NH同行住院的可能性更高.
- 这些ED访问的资源密集性要求有针对性的,多学科的干预措施,以提高对NH居民的护理.
- 为NH居民优化ED护理对于改善健康结果和资源配置至关重要.
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