烧伤住院后护理的分裂:对国家再接收数据库的分析
Hannah Braunstein1, Vanessa P Ho2, Avanti Badrinathan3
1Case Western Reserve University School of Medicine, Cleveland, Ohio.
The Journal of surgical research
|November 4, 2024
概括
烧伤再入院是常见的,超过一半发生在原始医院. 家庭医疗保健,私人保险和更高的收入等因素与减少烧伤患者的护理碎片化有关.
科学领域:
- 烧伤护理和患者的结果.
- 医疗服务研究 医疗服务研究
- 医疗保健中的差异
背景情况:
- 烧伤患者需要专门的长期护理,增加他们重新入院的风险.
- 护理的碎片化,或重新入院到不同的医院,可能会使烧伤幸存者的结果变得更糟.
- 了解与再接收和分裂相关的因素对于改善护理连续性至关重要.
研究的目的:
- 确定患者和人口统计因素与医院再入院和烧伤患者的护理碎片化相关.
- 分析出院处置和社会经济地位对再接收模式的影响.
- 调查在照顾烧伤幸存者的潜在差异.
主要方法:
- 针对在90天内再入院的烧伤患者,对全国再入院数据库 (2017) 的分析.
- 收集有关人口统计,烧伤严重程度,并发症和排放处置的数据.
- 使用多变量逻辑回归来识别与指数医院再入院相关的因素.
主要成果:
- 10.8%的烧伤患者在90天内重新入院;51.6%的患者重新入院到指数医院.
- 家庭医疗保健,私人保险和更高的邮政代码收入 (>74,000美元) 与重新入院的几率较低有关.
- 这些因素表明社会经济地位和分散的护理之间存在潜在的联系.
结论:
- 家庭医疗保健,私人保险和更高的社会经济地位与减少烧伤患者的护理碎片化有关.
- 护理的分散可能会对收入较低的烧伤患者产生不成比例的影响,突出显示了潜在的医疗保健差异.
- 针对高风险患者的有针对性的干预措施可以改善护理连续性并减少负面结果.
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