紧急病房再入院,一个可以避免的问题? 在创伤参考中心重新入院的分析和分层
Eduardo Takemura Adania1, Gilson Soares DE Faria Junior1, Nicole Rampani Franzoni1
1- Hospital do trabalhador, Departamento de Cirurgia - Curitiba - PR - Brasil.
Revista do Colegio Brasileiro de Cirurgioes
|July 10, 2024
概括
医院再入院,特别是可以避免的再入院,是紧急服务部门的一个担忧. 这项研究发现了患者年龄,救护车运输和再入院率之间的联系,突出了改善护理质量的领域.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健质量评估 医疗保健质量评估
- 创伤护理 创伤护理
背景情况:
- 住院再接收是评估紧急服务质量的关键指标.
- 在创伤急救服务中量化和分类重新接收对于有针对性的干预至关重要.
研究的目的:
- 在创伤参考急救服务中量化和分层医院再入院.
- 确定与急诊室再接收相关的因素.
主要方法:
- 追溯纵向研究设计.
- 包括在30天内有两次或多次紧急服务再入院的患者.
- 从电子病历收集临床和人口统计数据.
主要成果:
- 总体再接收率为4.11%,其中2.23%被认为是可以避免的.
- 在再入院和患者年龄 (OR 1.37;95% CI 1.17-1.59) 和救护车运输之间发现了显著的关联.
- 对于生物性别,职业事故或并发症,没有观察到任何显著的关联.
结论:
- 很大一部分急救部门的再入院是可以避免的.
- 患者的年龄和使用救护车运输与重新接收风险的增加显著相关.
- 调查结果强调,需要制定战略,减少可预防的再入院,改善患者的治疗结果.
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