与患有喘的儿科患者潜在不必要转移相关的患者相关因素:一项回顾性队列研究
Gregory A Peters1,2,3, Rebecca E Cash1,2, Scott A Goldberg1,3
1Harvard Medical School, Boston, Massachusetts.
The western journal of emergency medicine
|May 27, 2024
概括
不必要的儿科喘转移与年轻的年龄,男性性别和西班牙裔种族有关. 经常因喘住院减少这种转移的可能性.
科学领域:
- 儿科急救医学 儿科急救医学
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 喘是儿科机构间转移的主要原因.
- 多达40%的儿科喘转移可能是不必要的,增加了成本和延迟了护理.
研究的目的:
- 确定与儿童喘患者潜在不必要的设施间转移相关的患者相关因素.
主要方法:
- 分析加利福尼亚州分娩和ED数据,用于儿童喘患者 (年龄为2-17岁) 在设施之间转移.
- 定义不必要的转移是那些停留时间小于24小时,没有转移后的高级服务.
- 使用概括估计方程来识别相关的患者特征.
主要成果:
- 在4233例儿科喘转移中,有11%被认为可能是不必要的.
- 年龄较小 (2-5岁),男性性别和西班牙裔种族与不必要转移的可能性增加有关.
- 每年多次先前的喘住院减少了不必要转移的几率.
结论:
- 患者人口统计和先前的医疗保健利用影响了不必要的儿科喘转移的可能性.
- 识别这些因素可以为减少不必要的转移和改善儿科喘护理的策略提供信息.
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