使用跨专业团队从急诊室转移住院患者:倾向性得分分析
Ivy Cheng1,2, Alex Kiss3, Natalie Coyle4
1Sunnybrook Health Sciences Centre, Toronto, ON, Canada. Ivy.cheng@sunnybrook.ca.
CJEM
|August 26, 2024
概括
紧急诊所 (ED) 的一个跨专业团队减少了老年人入院的次数. 虽然涉及稍长停留和再入院,但该干预措施可能通过释放医院床位,为整个系统带来好处.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 老年人经常以复杂的需求出现在急诊室 (ED).
- 需要有效的干预措施来减少住院人数,并改善对这一群体的护理协调.
研究的目的:
- 评估跨专业团队 (ED1Team) 对ED中老年患者住院率的影响.
- 评估ED1Team干预的安全性和有效性.
主要方法:
- 一个单中心,回顾性,倾向分数匹配的研究,将对照期与干预期进行比较.
- 该干预涉及ED专业间团队 (ED1Team),包括职业治疗师,物理治疗师和社会工作者.
- 录取率在各个时期之间以及在ED1Team参观和无人参观之间进行了比较.
主要成果:
- ED1Team干预与老年ED患者住院率显著下降有关.
- 在ED1团队看过的患者中,ED停留时间总体上下降了,但在ED1团队看过的患者中增加了,而不是在干预期内被团队看过的患者.
- 虽然ED1Team出院的患者的7天再入院率略高,但死亡率没有显著差异.
结论:
- 在老年ED患者中,ED跨专业团队的咨询可以安全地减少住院.
- 这项干预表明,通过优化医院病床利用率,有可能带来全系统的好处.
- 进一步的研究和ED1Team干预的潜在扩展是有必要的,以探索更广泛的医疗保健系统优势.
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