医院间转移对通过急诊室入院的患者死亡率的影响
Jei-Joon Song1, Si-Jin Lee1, Ju-Hyun Song1
1Emergency Department, College of Medicine, Korea University, 73 Inchon-ro, Seongbuk-gu, Seoul 02841, Republic of Korea.
Journal of clinical medicine
|August 29, 2024
概括
医院间转移 (IHT) 与更高的住院死亡率有关. 这项研究发现,IHT独立预测死亡率,特别是在患有特定疾病的重症患者中.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 医院间转移 (IHT) 是紧急医疗系统的一个关键方面.
- 现有的关于IHT对患者结果的影响研究是相互矛盾的.
- 这项研究旨在澄清IHT和住院死亡率之间的关联.
研究的目的:
- 研究医院间转移 (IHT) 和住院死亡率之间的关系.
- 确定与转移患者死亡率增加相关的因素.
- 为政策制定提供信息,以减轻IHT风险.
主要方法:
- 使用国家紧急情况部门信息系统 (NEDIS) 数据 (2016-2018) 的回顾性观察研究.
- 包括2,955,476名成年患者被送往紧急医疗中心.
- 主要结局:住院死亡率;使用多重逻辑回归分析.
主要成果:
- 28.2%的患者接受了IHT,与未转移的患者 (4.8%) 相比,死亡率明显更高 (6.9%).
- IHT是住院死亡率的一个独立预测因素 (aOR 1.114,95% CI 1.101-1.128).
- 更高的严重程度,更短的症状发作到到来,以及传染病或呼吸系统疾病的诊断与转移患者的死亡率增加有关.
结论:
- 医院间转移 (IHT) 与医院内死亡率的增加有显著关联.
- 需要制定政策来减轻IHT风险,特别是在重症患者和患有传染性,尿生殖道或呼吸道疾病的患者中.
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