拉脱维亚的败血症 - 发病率,结果和医疗保健利用:一项回顾性观察性研究
Laura Puceta1,2, Artis Luguzis1,3, Uga Dumpis1,4
1Faculty of Medicine, University of Latvia, LV-1004 Riga, Latvia.
Healthcare (Basel, Switzerland)
|January 26, 2024
概括
拉脱维亚的败血症病例大幅增加,特别是在老年人中,导致较高的死亡率和幸存者的医疗费用增加. 加强门诊护理对于改善败血症幸存者的长期结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健管理的管理
背景情况:
- 败血症代表着一个重要的全球健康挑战,具有相当大的发病率和死亡率.
- 了解败血症趋势和结果对于有效的公共卫生战略至关重要.
- 拉脱维亚的医疗保健系统数据为研究败血症流行病学提供了独特的机会.
研究的目的:
- 调查拉脱维亚成年人口中败血症的发病率,结果和医疗保健资源利用情况.
- 分析2015-2020年毒病例和相关死亡率的趋势.
- 为了比较败血症幸存者的长期死亡率和医疗保健成本与匹配的对照组.
主要方法:
- 利用来自国家卫生服务和拉脱维亚疾病预防和控制中心的合并数据库.
- 分析了2015年至2020年期间成年人因败血症住院的情况.
- 针对败血症幸存者和参考组的年龄/性别调整的病例死亡率和一年死亡率.
主要成果:
- 从2015年至2018年间,毒症病例增加了53.1%,随后稳定,老年人患病率更高.
- 年龄/性别调整后的败血症病例死亡率从2015年的34.7%增加到2020年的40.5%.
- 败血症幸存者 (n=7764) 的一年死亡率为12%,而参考组 (n=20686) 的死亡率为2.2%,由于再住院和药品,医疗费用更高.
结论:
- 该研究强调了拉脱维亚不断增加的败血症检测,特别是在老年人群中.
- 败血症幸存者面临的长期结果明显较差,包括死亡率升高和医疗保健利用率增加.
- 显然需要加强毒症后门诊护理策略,以减轻长期不良影响并改善患者的康复.
相关概念视频
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:28Asepsis
2.1K
The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
2.1K
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K
01:26Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
01:30Pneumonia I: Introduction
239
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
239
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K