不恰当的急诊室访问:从5,429次访问中对发生率,相关和预测因素的洞察力
Abdulaziz M Alghamdi1,2, Mohamed K Alqazenli1,2, Mohammed I Alzahrani1,2
1College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
不适当的急诊室访问 (IV) 影响了20.7%的病例. 男性性别,非沙特国籍和周末访问预测了IVs,突出了改善医疗保健质量的领域.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 过度拥挤的急诊室 (ED) 和不适当的访问 (IV) 对患者护理和医疗保健系统构成重大挑战.
- 了解IVs的范围和驱动因素对于优化ED资源配置和患者流动至关重要.
研究的目的:
- 为了确定不适当的访问 (IVs) 到急诊室 (ED) 的发生率.
- 识别与IVs相关的和预测IVs的因素.
- 为减少IV和改善医疗保健质量的战略提供信息.
主要方法:
- 一项回顾性队列研究在沙特阿拉伯吉达国王阿卜杜拉齐兹医疗城进行.
- 分析了2023年2月的所有ED访问,以根据预定义的标准确定适当性.
- 统计分析,包括多重后勤回归,用于确定IVs的预测因素.
主要成果:
- 静脉检查的发生率为20.7% (5,429次检查中有1,128次).
- 肺部和耳鼻喉科的投诉更频繁地与IVs相关.
- 男性性别 (OR: 1.3),非沙特国籍 (OR: 2.7) 和周末访问 (OR: 1.1) 是IVs的重要预测因素.
结论:
- 大部分ED访问被认为是不合适的.
- 关键的人口和时间因素预测不适当的急诊室访问.
- 解决这些预测因素可以帮助减少IV,改善患者的治疗结果,提高ED的效率.
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