皮肤病紧急情况和住院的决定因素在瑞士:一个回顾性研究研究
S Cazzaniga1,2, K Heidemeyer1, C A Zahn1
1Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
概括
皮肤病经常导致急诊室 (ED) 访问,79%的患者住院治疗. 入院的预测因素包括更长的ED停留时间和特定的患者因素,强调需要更好的皮肤病护理协调.
科学领域:
- 皮肤病学 皮肤病学
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在全球范围内,皮肤病占急诊室 (ED) 访问的很大一部分.
- 虽然很少危及生命,但皮肤病紧急情况可能导致高发病率.
- 关于皮肤病紧急情况的ED咨询和随后的患者处置的数据有限.
研究的目的:
- 在ED环境中调查影响患者皮肤病情和住院治疗的因素.
- 确定与皮肤病住院决定相关的临床变量.
- 在56个月的时间里,分析瑞士一所大学医院内皮肤病护理的趋势.
主要方法:
- 从电子医疗记录中对非识别患者数据进行回顾性分析.
- 利用通用估计方程来确定患者情绪的预测因素.
- 连续检查了5096名患者,他们呈现出一种主要的皮肤病症.
主要成果:
- 79%的皮肤问题患者被住院治疗.
- 与入院率增加相关的因素包括更长的ED停留时间,年龄≥45岁,男性性别,异常生命体征,较高的BMI和较低的氧气和.
- 只有2.2%的住院患者被接收到皮肤病房,随着时间的推移,皮肤科医生参与住院护理的比例正在下降.
结论:
- 确定了皮肤病患者入院的独立预测因素,有助于ED患者管理.
- 该研究表明,医院环境中的皮肤病学被边缘化,可能会影响护理质量和成本效益.
- 强调需要增加皮肤科医生参与和与非皮肤科医生合作,以改善患者护理和专业定位.
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