败血症幸存者的再入院:出院设置风险
Priscilla Hartley1, Jordan Pelkmans2, Catherine Lott3
1Priscilla Hartley is an assistant professor, College of Nursing, Augusta University, Athens, Georgia.
概括
被送往熟练护理机构,家庭医疗保健或家庭治疗的败血症幸存者面临30天再入院的高风险. 这些排放设置可能不合适,增加了败血症幸存者的风险.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 老年医学 老年医学
背景情况:
- 败血症幸存者面临着严重的恶化和退院后再入院的风险.
- 了解影响再入院的因素,如出院设置,对于改善患者的治疗结果至关重要.
- 关于排放目的地与败血症幸存者的再接收率之间的关联存在有限的数据.
研究的目的:
- 研究成年败血症幸存者的出院设置和30天医院再入院率之间的关系.
- 确定特定的排放地点与更高的再接收风险相关.
主要方法:
- 利用密集护理医疗信息中心 (MIMIC) 数据库来识别成人败血症幸存者.
- 分析了根据出院设置类型的30天再接收率.
- 采用了奇平方偶然性分析和克鲁斯卡尔-瓦利斯试验来评估统计学意义.
主要成果:
- 总体而言,23.6%的败血症幸存者在30天内重新入院;30%的人经历了多次再入院.
- 出院设置 (P < .001) 和患者年龄 (P = .02) 与再入院有显著的相关性.
- 在被送往熟练护理机构 (29.6%),家庭医疗保健 (26.9%) 和家庭 (15.0%) 的患者中,再接收率特别高.
结论:
- 被送往熟练护理机构,家庭医疗保健和家庭环境的败血症幸存者面临30天再入院的高风险.
- 来自家庭医疗保健和家庭环境的再接收率令人担忧,这表明出院计划或出院后支持可能存在问题.
- 需要进行进一步的研究,以优化医院出院时间,并确保患者过渡到最合适的急性后护理环境,以减少再入院风险.
相关概念视频
01:31Discharge Summary Forms
749
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
749
01:29Appendicitis-II: Diagnostic Studies and Management
72
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
72
01:28Esophageal Varices-II: Clinical Features and Management
57
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
57
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:21Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.1K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.1K