新生儿再接收和虚拟初级保健服务:一个基于人口的病例控制研究
Eyal Cohen1,2,3,4,5,6, Therese A Stukel3,5, Xuesong Wang3
1The Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
BMC primary care
|June 24, 2024
概括
接受虚拟出院后护理的新生儿与亲身体验的新生儿相比,再入院的几率更高. 这凸显了与虚拟新生儿护理相关的潜在风险.
科学领域:
- 儿科 儿科 儿科
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 出院后的早期评估对新生儿健康至关重要.
- 虚拟护理的兴起需要评估其对新生儿结果的影响.
- 这项研究调查了初级保健访问模式和新生儿再入院之间的关联.
研究的目的:
- 为了确定虚拟或面对面的初级保健访问是否会影响早期新生儿再入院.
- 评估虚拟护理与新生儿急诊室 (ED) 访问之间的关联.
- 为了比较虚拟与面对面的出院后新生儿护理的结果.
主要方法:
- 基于人口的病例控制研究,使用链接的卫生行政数据库 (2020年9月 - 2022年3月).
- 将被重新接收的新生儿 (病例) 与没有 (对照组) 的新生儿进行比较,根据婴儿性别,妊娠年龄和母亲的平等性进行匹配.
- 使用条件后勤回归来分析虚拟与面对面访问的几率比率 (ORs),调整共变量.
主要成果:
- 在75%的病例中,黄是重新入院的主要原因.
- 经过虚拟检查的新生儿,再入院的几率更高 (调整后的OR 1.41).
- 当使用再接收或ED访问的复合结果 (调整的OR1.35) 时,这种关联仍然是一致的.
结论:
- 新生儿出院后的虚拟访问与与实体访问相比,医院再入院的几率增加.
- 调查结果表明,虚拟新生儿护理存在潜在风险,需要进一步调查.
- 这项研究强调了在出院后新生儿护理策略中考虑访问模式的重要性.
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