医院COVID-19负担和不良事件发生率
Mark L Metersky1, David Rodrick2, Shih-Yieh Ho3
1Division of Pulmonary, Critical Care and Sleep Medicine, University of Connecticut School of Medicine, Farmington.
JAMA network open
|November 4, 2024
概括
较高的医院COVID-19负担与所有患者的不良事件增加相关. 这凸显了医院需要提高性和增加能力,以在需求高峰期保持患者安全.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 流行病学 流行病学
背景情况:
- 随着COVID-19大流行,医院资源紧张,导致需求增加和人员短缺.
- 这些医院压力对患者安全的影响仍然不完全理解.
研究的目的:
- 调查医院的COVID-19患者负担与医院内不良事件 (AE) 的发生率之间的联系.
主要方法:
- 一项队列研究利用了来自医疗保健研究和质量机构质量和安全审查系统的数据.
- 该研究分析了从2020年9月到2022年6月的医疗保险入院情况,根据医院特定的每周COVID-19患者普查对AE进行分层.
- 根据患者和医院的特点进行风险调整.
主要成果:
- 每1000例入院的不良事件随着医院COVID-19负担的增加而增加,从低负担周的59.1增加到高负担周的97.4.
- 风险调整后的分析显示,高负担周与低负担周相比,高负担周所有患者的AE相对风险增加了23% (RR,1.23;95% CI,1.09-1.39).
- 这种关联对于患有 (RR, 1.33) 和没有 (RR, 1.23) COVID-19的患者都是显著的.
结论:
- 增加医院COVID-19负担与更高的医院不良事件风险显著相关.
- 这些发现强调了加强医院弹性和增加医院能力以减轻公共卫生危机期间的患者安全风险的必要性.
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