预测老人院运送到急诊室的预测器
Keerthana1, Yee Har Liew2, Mui Hua Jean Lee3,4
1Ministry of Health Holdings, Maritime Square, #11-25, 099253, Singapore, Singapore. keerthana@mohh.com.sg.
International journal of emergency medicine
|September 28, 2024
概括
高率的护理院到急救部门的运输与神经症状,不稳定的血液动力学,发烧和跌倒有关. 实施更好的防摔和监测可以帮助减少这些转移.
科学领域:
- 老年学是一门学科.
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 全球范围内,患者从养老院转移到急诊室的比例不断上升,需要对促成因素进行调查.
- 专注于确定从养老院运送到特定急性第三级医院ED的高运输率的原因.
研究的目的:
- 检查导致养老院居民向急诊部运送高率的因素.
- 确定与这些转移相关的特定临床指标和患者特征.
主要方法:
- 未来23个月 (2020年4月 - 2022年2月) 的前性研究设计.
- 数据是通过标准化手动表格收集的,用于将养老院运送到ED.
- 对338份运输前表格进行分析.
主要成果:
- 造成ED传递的主要原因:神经症状 (16%),血动力学不稳定 (12%),发烧 (11%),跌倒 (10%).
- 峰值运输发生在周末下午 (1600-1900小时).
- 增加的呼吸速率,氧化需求和高的国家早期预警分数 (NEWS) 与增加的ED传送量显著相关. 具体来说,呼吸速率,氧和和氧补充剂的使用与救护车运输决定有关.
结论:
- 不稳定的血液动力学和跌倒是养老院到ED转移的主要驱动因素.
- 需要加强防摔策略,并在养老院内进行标准化的患者监测.
- 未来的研究应该探索传输结果和养老院特征,以减少可预防的转移.
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