随着时间的推移,儿童医院的常规实验室检测模式不断变化
Michael J Tchou1, Matt Hall2, Jessica L Markham3
1Department of Pediatrics, Section of Hospital Medicine, University of Colorado-Anschutz Medical Center and Children's Hospital Colorado, Aurora, Colorado, USA.
Journal of hospital medicine
|April 21, 2024
概括
在过去十年中,儿童医院的常规实验室检测率差异很大. 检测频率的变化没有影响患者的治疗结果,例如住院时间或再入院率.
科学领域:
- 提高儿科医疗保健质量的改善
- 实验室利用率分析 实验室利用率分析
- 医疗服务研究 医疗服务研究
背景情况:
- 随着时间的推移,儿科护理中的常规实验室检测模式并未得到充分理解.
- 以前的研究并没有一致评估儿童医院低值检测的趋势.
研究的目的:
- 在儿童医院十年内分析常规实验室检测率的变化.
- 调查这些测试率变化与患者结果之间的关联.
主要方法:
- 在28家儿童医院中,回顾性队列研究超过576,000次儿科医院接触 (0-18岁).
- 从2010-2019年对全血细胞计数,电解质和炎症标志物的分析.
- 医院按增加,减少或不变的测试率进行分类;结果根据人口统计和病例组合进行调整.
主要成果:
- 医院的平均年检测率变化范围从 -6%到 +7%.
- 两组之间没有观察到停留时间,费用,30天再入院或ED再访的显著差异.
- 检测率仍然存在显著差异,一些医院的检测率始终高或低.
结论:
- 对于普通实验室的医院测试率趋势与患者的结果没有相关性.
- 资源利用洞察力可以指导在儿科环境下可实现的测试减少.
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