描述一个常见的现象:为什么创伤患者会再次到急诊室?
Wang Pong Chan1, Sophia M Smith2, Cara Michael3
1Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts; Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts.
The Journal of surgical research
|October 19, 2024
概括
创伤患者经常回到ED,通常是因为无法控制的疼痛. 解决疼痛,医疗问题和感染,特别是在高风险群体中,可以减少再访.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
背景情况:
- 创伤患者返回急诊室 (ED) 的情况很常见.
- 这些重新访问的原因和风险因素尚未完全理解.
研究的目的:
- 在创伤患者中调查急诊室重新呈现的原因.
- 确定与这些再访相关的风险因素.
主要方法:
- 成人创伤入院的回顾性队列研究.
- 从城市安全网1级创伤中心 (2018-2021) 收集的数据.
- 用于识别风险因素的多变量逻辑回归.
主要成果:
- 19%的患者 (N=475) 在30天内返回.
- 最常见的原因:不受控制的疼痛 (37%),医疗问题 (25%),感染 (10%).
- 风险因素包括抑郁症,焦虑,物质使用障碍,透性损伤,并发症和非家庭出院.
结论:
- 失控的疼痛是创伤患者再访的主要原因,尽管很少有人需要再入院.
- 改善透性伤害的疼痛管理和加强初级保健后续护理可以减少再访.
- 针对非英语发言者的向性伤口护理可能会降低感染相关的回报率.
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