在南威尔士创伤网络中调查停留时间模式及其预测因素
Zihao Wang1, Bahman Rostami-Tabar1, Jane Haider1
1Cardiff Business School, Cardiff University, Cardiff, UK.
Advances in rehabilitation science and practice
|March 20, 2024
概括
老年患者和多次入住康复病房的患者在创伤护理中经历了更长的停留时间 (LOS). 为这些群体优化资源分配可以提高创伤网络的效率.
科学领域:
- 创伤护理和健康服务研究 创伤护理和健康服务研究
- 医疗信息学和健康数据分析
背景情况:
- 停留时间 (LOS) 是创伤护理中的一个关键绩效指标,但从整个网络的角度来评估它仍然不清楚.
- 之前的研究集中在个别创伤中心内的LOS,缺乏全面的网络分析.
研究的目的:
- 系统地分析南威尔士重大创伤网络 (SWTN) 建立前后的总体停留时间 (LOS) 模式.
- 评估 SWTN 中的人口和临床因素与 LOS 之间的关联.
主要方法:
- 追溯分析了大约18000名患者进入SWTN创伤中心的病例 (2012年1月 - 2021年10月).
- 使用创伤审计和研究网络 (TARN) 数据集.
- 采用统计测试和数据可视化来检查LOS模式和预测器关联.
主要成果:
- 在SWTN的LOS遵循右倾分布 (中位数为10天,平均值为15.92天).
- 根据年龄,性别,损伤严重程度 (AIS) 和病房类型,在正常和异常组之间观察到LOS的显著差异.
- 长时间的LOS与年龄较大,AIS得分较高,老年病房入院和重复康复病房的多次入院有关.
结论:
- 研究结果证实,老年患者容易受到更长的创伤护理停留.
- 需要在康复病房多次住院的患者面临增加的LOS.
- 建议包括扩大弱势群体的医疗资源,以优化创伤护理成本和效率.
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