在初级保健中住院后的喘管理:一项回顾性队列研究
Dhanusha Punyadasa1, Nikita Simms-Williams1, Nicola J Adderley1
1Institute of Applied Health Research, University of Birmingham, Birmingham.
概括
许多喘患者在入院后错过了及时的初级保健随访. 黑人少数族裔群体在出院后的基本喘护理率明显较低.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 临床指南要求对喘患者住院后进行初级保健审查.
- 有效的出院后管理对于预防喘恶化至关重要.
研究的目的:
- 评估住院后在初级保健机构提供喘护理.
- 为了确定与接受退院后喘管理相关的患者特征.
主要方法:
- 使用英国初级保健和住院数据 (2017-2019) 的回顾性队列研究.
- 包括5岁以上的患者,至少有一次与喘有关的住院住院.
- 主要结局:喘检查,管理计划,药物,吸入器技术或在出院后28天内戒烟咨询的综合结局.
主要成果:
- 分析了超过17.000名患者;60.2%的患者至少获得了主要结果的一个元素.
- 具体的护理要素有所不同:喘药物 (57.3%),审查 (13.2%),管理计划 (8.4%),吸入器技术 (8.6%),戒烟 (1.2%).
- 来自黑人少数族裔群体的患者获得推护理的几率明显较低 (27-54%). 之前的短效支气管扩展剂处方与接受护理的几率更高有关.
结论:
- 相当数量的患者在因喘住院后没有得到及时和全面的初级保健随访.
- 在护理提供方面发现了种族差异,黑人少数民族患者接受的护理不足最佳水平.
- 需要进一步的研究和有针对性的干预措施,以改善退院后的喘管理和解决健康不平等问题.
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