美国各地医院的身体限制使用:2011-2019年
Ishaan Gupta1, Ilana Nelson-Greenberg1, Scott Mitchell Wright1
1Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD.
Mayo Clinic proceedings. Innovations, quality & outcomes
|January 23, 2024
概括
从2011年到2019年,住院成年人使用身体克制 (PR) 的比例增加了,但率没有显著下降. 尽管有指导方针,但这种趋势仍然存在,这表明需要改进实践变化.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 临床实践 临床实践
背景情况:
- 身体克制 (PR) 的使用在成人住院治疗中是一个有争议的做法.
- 了解PR利用的趋势和相关的患者结果对于改善护理质量至关重要.
研究的目的:
- 分析住院成年人使用身体克制 (PR) 率的变化.
- 确定PR使用对住院死亡率,住院时间和住院费用的影响.
主要方法:
- 2011-2014年和2016-2019年国家住院患者样本数据库的分析.
- 2011-2012年和2018-2019年之间的PR率和结果的比较.
主要成果:
- 从2011年至2014年,PR使用量显著增加,从2016年至2019年持续呈现上升趋势.
- 接受PRs的患者在医院死亡率较高,住院时间较长,医院总费用增加.
- 调整后的几率比率表明,PR患者的住院死亡风险是3.5-3.9倍.
结论:
- 在研究期间,身体克制率没有下降,这表明推指南和临床实践之间存在差距.
- 持续使用PR的流行凸显了需要有效实施最佳实践,以提高患者安全的必要性.
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