呼吸道,呼吸,手机:一个新的生命体征?
Samuel I Garcia1,2, Ashley Jacobson3, Gregory P Moore4
1Division of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic College of Medicine and Science, Rochester, MN, USA. garcia.samuel@mayo.edu.
International journal of emergency medicine
|November 23, 2024
概括
在急诊室 (ED) 评估期间使用手机的患者更频繁地出院. 这表明使用手机可能与住院可能性降低有关,这影响了分拣决策.
科学领域:
- 紧急医疗 紧急医疗
- 医疗信息学 医疗信息学
背景情况:
- 紧急医疗中的分类包括优先考虑治疗,确定护理水平和患者处置.
- 患者在急诊室 (ED) 越来越多地使用手机,这在分拣过程中带来了新的变量.
研究的目的:
- 调查患者在初始ED评估期间使用手机与最终处置之间的关联.
- 探索移动技术参与如何影响紧急护理决策.
主要方法:
- 在292名ED患者 (2021年9月至2022年8月) 中进行了前性,横截面研究.
- 患者被分为两组:在初始评估期间积极使用手机 (n=32) 或不使用手机 (n=259).
- 最终处置记录为接收或释放.
主要成果:
- 积极使用手机的患者与不使用手机 (64%) 相比,排放率 (94%) 显着更高.
- 8.4的赔率比 (p=0.004) 表明活跃的手机用户的出院可能性大幅增加.
- 研究结果表明,使用手机与减少入院概率之间存在潜在联系.
结论:
- 在初始ED评估期间使用手机与更高的放电率有关.
- 这种关联引入了紧急医疗分拣的新思路.
- 需要进一步的研究,以了解临床影响,以有效分拣和患者处置.
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