住院日对完全心脏阻塞住院患者的影响:分析周末效应
Nahush Roop Bansal1, Abdulmajeed Alharbi2, Shahnaz Rehman3
1Department of Internal Medicine, The University of Toledo Medical Center, Toledo, OH, USA.
Heart & lung : the journal of critical care
|October 29, 2024
概括
完全心脏阻塞 (CHB) 的周末入院与更长的住院时间和更高的费用有关. 虽然死亡率相似,但周末CHB患者经历更多的心脏骤停和心脏性休克,心脏起器植入延迟.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 完全心脏阻塞 (CHB) 是一种严重的心脏病,需要及时治疗.
- 住院时间,特别是工作日与周末的时间,可能会影响患者在紧急情况下的结果,如CHB.
研究的目的:
- 调查周日和周末入院患者和被诊断患有完全心脏阻塞的患者的结果之间的关联.
主要方法:
- 一项回顾性队列研究利用了国家住院患者样本数据库.
- 分析了完全心脏阻塞住院的成年患者,比较周末和周日住院之间的结果.
主要成果:
- 周末住院患者 (21.37%) 的死亡率与周末住院患者相似,但住院时间较长,费用比周日住院患者高.
- 周末入院的患者心脏骤停和心脏发生性休克的发生率更高.
- 永久心脏起器植入率相似,但植入的延迟对于周末入院的患者来说更长.
结论:
- 对于周末和周日住院的完全心脏阻塞患者的结果存在显著差异.
- 医院和行政策略是必要的,以减轻与CHB周末入院相关的护理和结果的差异.
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