使用生存分析对一般和紧急住院患者之间的住院死亡率进行比较研究
Haegak Chang1, Seiyoung Ryu2, Ilyoung Choi3
1School of Management, Kyung Hee University, Seoul 02447, Republic of Korea.
Healthcare (Basel, Switzerland)
|October 16, 2024
概括
这项研究比较了韩国急诊室与普通住院患者的死亡率. 大都会城市对紧急病人的死亡风险更高,而中小型城市对一般住院患者的影响更大.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学统计 医学统计
- 公共卫生政策 公共卫生政策
背景情况:
- 紧急医疗系统管理医院前和住院护理.
- 在急诊室中识别高风险患者群体至关重要.
- 以前的生存分析忽视了被审查的医疗数据.
研究的目的:
- 比较紧急病例与一般住院患者死亡率的决定因素.
- 分析影响韩国住院患者生存的因素.
- 解决生存分析中传统回归的局限性.
主要方法:
- 使用的韩国国家健康保险服务 (NHIS) 队列数据 (2016-2019).
- 进行了生存分析,包括Kaplan-Meier估计和Cox比例危险模型.
- 研究了社会人口统计学,患者,健康检查和机构特征.
主要成果:
- 小/中型城市影响了一般住院患者死亡率;大都会城市影响了紧急住院患者死亡率.
- 机构因素,如医生/护士比例和床位的可用性,在各组之间存在差异.
- 社会人口统计学和机构特征显著影响住院患者的死亡率.
结论:
- 调查结果突出了紧急和一般住院患者的不同风险因素.
- 结果可以根据逗留时间 (LOS) 进行有效的医疗资源分配.
- 支持数据驱动的战略,以改善韩国医疗保健中的患者结果.
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