紧急诊所例行血液检测对患者的效益分配的分拣类别不是时间关键:一项回顾性研究
Abdi D Osman1,2,3, Jocelyn Howell4, Michael Yeoh4
1Department of Critical Care, University of Melbourne, 157-159 Barry Street Parkville, Melbourne, VIC, 3010, Australia. abdi.osman@unimelb.edu.au.
BMC health services research
|October 17, 2024
概括
常规血液检查经常在非时间关键的急诊室患者身上进行,这会影响护理工作量. 老年患者更有可能接受血液检测,与更长的逗留相关.
科学领域:
- 紧急医疗 紧急医疗
- 临床病理学 临床病理学
背景情况:
- 常规血液检测在急诊室的非时间关键患者中很常见.
- 有关这些测试对实用性,成本和工作负载的影响存在担忧.
研究的目的:
- 调查非时间关键急诊室患者常规血液检测的频率和预测因素.
- 评估血液检测性能与患者人口统计学或部门拥挤之间的关联.
主要方法:
- 使用电子医疗记录进行回顾性观察研究.
- 从澳大利亚四级大都会医院的急诊部收集的数据.
- 来自74,878名与会者的383名成年患者样本 (2021年1月至12月).
主要成果:
- 其中62%的患者接受了血液检测.
- 血液检测的表现与年龄的增长有关 (p < 0.001).
- 没有发现与部门过度拥挤有显著的关联 (p = 0.230).
结论:
- 在非时间关键性ED患者中,频繁的血液检测使护理资源受到压力.
- 老年患者更有可能接受血液检测.
- 血液检测的表现与急诊室停留时间的长度有正相关性.
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