在急诊室的无意识和身份不明患者的问题;一项为期3年的回顾性研究
Demet Acar1, Fatih Cemal Tekin1
1Department of Emergency Medicine, Konya City Hospital, Karatay, Konya, Türkiye.
PloS one
|July 24, 2024
概括
身份不明的患者,通常是有意识变化的移民,在急诊室 (ED) 经常出现创伤或物质滥用. 由于社会经济障碍,许多人没有得到诊断,这突出了关键的公共卫生问题.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 身份不明的患者在医疗保健机构,特别是急诊室 (ED) 提出了重大挑战.
- 未识别患者的意识变化使诊断和治疗复杂化,需要有针对性的研究.
研究的目的:
- 调查未确定的患者的临床和社会人口统计特征,这些患者因意识变化而入院ED.
- 确定结果并确定影响这种脆弱患者群体管理的因素.
主要方法:
- 对所有急诊室 (ED) 呈现的未识别的有意识改变的患者的回顾性分析.
- 评估人口统计数据,临床表现,诊断,出院信息和临床结果.
主要成果:
- 接收了1324名身份不明的患者,80.1%是外国公民,主要是男性移民.
- 常见的诊断包括交通事故,袭击,物质滥用和昏迷.
- 外国公民在没有诊断的情况下离开的比例更高 (18.9%对5.4%). 总体而言,26.5%的患者无人照顾,2.9%的患者在ED中死亡.
结论:
- 意识改变的未识别患者是高需要的人群,经常出现创伤或药物滥用.
- 社会经济,语言和文化方面的劣势可能会导致患者没有得到适当的治疗而离开,特别是在移民中.
- 需要有针对性的干预措施来应对ED中未确定的患者所面临的独特挑战.
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