短期住院患者的入院特征
Yael Frenkel Nir1,2, Yuval Levy3,4, Ehud Grossman5
1Medical management department, The Chaim Sheba Medical Center, Tel Hashomer, Israel. Yael.FrenkelNir@sheba.health.gov.il.
Israel journal of health policy research
|September 26, 2024
概括
短期住院是可以预测和常见的,特别是在夜班. 识别患者的特征可以帮助减少医疗病房的负担.
科学领域:
- 医院管理局 医院管理局
- 紧急医疗 紧急医疗
- 内部医学 内部医学
背景情况:
- 谢巴医疗中心 (SMC) 面临着越来越多的急诊室 (ED) 访问,有19%的患者被录取到医疗病房.
- 这些入院的很大一部分是短期住院 (≤1晚),给医疗病房带来负担.
研究的目的:
- 确定医疗病房短暂住院的患者的特征.
- 了解影响短期入院时间的因素.
主要方法:
- 从2013年1月1日到2019年12月31日连续入院SMC病房的成年患者的回顾性分析.
- 将患者分为短期住院,非短期住院和ED出院组.
主要成果:
- 45%的入院是短期住院 (59,994人,133,126人).
- 短期住院的患者年轻,并患上较少的并发病.
- 短期住院在夜班更频繁,与ED患者负载相关.
- 自杀企图和高血压的短期住院率很高,但心脏和神经疾病的投诉占短期入院的比例更大.
结论:
- 短期住院患者表现出可预测的特征.
- 像在高峰时段增加人员和专门针对特定投诉的观察单位等策略,可能会减少医疗部门的短期入院.
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