在 triage 中出院的患者中,与在 7 天内重返医院的相关因素:一个病例控制研究
Jari Ylä-Mattila1,2, Teemu Koivistoinen3, Henna Siippainen1
1Emergency Department, Tampere University Hospital.
概括
高龄和腹部疼痛增加了在7天内重返医院的风险,对于被急诊室 (ED) 选小组出院或转移的患者. 这突出了需要谨慎评估基于分拣的出院策略的患者群体.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 临床分类是临床分类.
背景情况:
- 有限的数据存在于最佳的病人选择急诊室 (ED) 的重定向策略.
- 不同质的,非紧急患者群体对有效的ED管理构成挑战.
研究的目的:
- 在7天内确定与重访医院相关的因素.
- 分析由分拣团队出院或重定向的患者中复诊和随后住院的预测因素.
主要方法:
- 在坦佩雷大学医院ED (2019) 进行的观察性,单中心病例控制研究.
- 病例:在7天内无计划的医院再访;对照:没有再访.
- 对人口统计,并发病和分拣特征进行后勤回归分析.
主要成果:
- 更高的年龄与增加的复查 (OR 1.01) 和住院治疗 (OR 1.02) 有关.
- 与其他访问相比,腹痛显著增加了复诊 (OR 3.70) 和住院 (OR 5.28) 的风险.
- 6.5%的出院/转移的患者再次访问,其中25%的患者被住院治疗.
结论:
- 晚年和腹部疼痛是基于分拣的出院或重定向后7天的医院再访的关键预测因素.
- 在实施基于分拣的出院策略时,某些患者群体需要更仔细的评估.
- 研究结果强调需要在分拣系统中对患者群体进行谨慎评估.
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