开始使用COVID-19流行病和息护理单位:回顾性队列研究
Michael Bonares1, Kalli Stilos2, Madison Peters2
1Division of Palliative Medicine (M.B., K.S., M.P., L.H., D.S.), Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Division of Palliative Medicine (M.B., D.S.), Department of Medicine, University of Toronto, Toronto, ON, Canada; Sunnybrook Research Institute (M.B.), Toronto, ON, Canada.
Journal of pain and symptom management
|July 31, 2024
概括
尽管有史以来的进入障碍,但COVID-19大流行增加了非癌症患者的息护理单位/住院使用率. 这项研究检查了癌症和非癌症患者的护理过渡中的与大流行有关的转变.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 从历史上看,与癌症患者相比,非癌症诊断的个人面临更大的障碍,无法进入息治疗单位 (PCU) 或住院.
- 随着COVID-19大流行,专业息护理服务的提供和利用发生了重大变化.
研究的目的:
- 调查COVID-19流行病的开始与PCU/医院的利用之间的联系.
- 为了比较患有癌症的住院患者的PCU/住院利用趋势与需要专业息护理的非癌症诊断.
主要方法:
- 一项回顾性队列研究分析了来自加拿大多伦多一家学术医院的例行收集数据.
- 数据跨越2017年1月1日到2022年9月31日,大流行的开始定义为2020年4月1日.
- 为总体,癌症和非癌症队列计算和描述性地分析了每月处置百分比 (包括放出PCU/宿舍).
主要成果:
- 该队列包括4349人 (70.5%的癌症,29.5%的非癌症诊断).
- 在非癌症患者中,住院死亡人数下降了13.0% (49.6%至36.6%),PCU/住院出院人数增加了11.6% (35.6%至47.3%).
- 对于癌症患者来说,正式护理后出院增加了12.8% (2.3%至15.1%),住院死亡减少了7.0% (29.1%至22.0%).
结论:
- 在这个群体中,COVID-19大流行似乎促进了非癌症患者中前所未有的缓解护理单位/医院的利用.
- 这些发现表明,尽管有先进的差异,但在疫情期间,非癌症患者的护理获取和利用模式可能会发生变化.
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