老年患者在48小时内从长期护理医院重新转移到急诊室
Tae Young Lee1, Sung-Keun Ko1, Seong Jung Kim2,3
1National Emergency Medical Center, National Medical Center, Jung‑gu, Seoul, Republic of Korea.
BMC emergency medicine
|November 28, 2024
概括
从长期护理医院转移到急诊室的老年患者在重新转移时面临更糟糕的结果. 解决风险因素和改善最初的转移可以减少老年人的重复紧急访问.
科学领域:
- 老年医学 老年医学
- 医疗保健系统研究 医疗保健系统研究
- 紧急医疗 紧急医疗
背景情况:
- 人口老龄化增加了慢性疾病和医院转移.
- 老年患者经常在长期护理医院 (LTCH) 和急诊室 (ED) 之间转移.
- 在48小时内从LTCHs转移到EDs往往发生在没有适当治疗的情况下.
研究的目的:
- 调查老年患者 (65岁以上) 初次转移和随后的再转移的风险因素.
- 在48小时内分析从LTCH转移到ED的转移模式.
- 确定在重新转移时导致负面健康结果的因素.
主要方法:
- 全国横截面研究使用韩国国家应急部门信息系统 (NEDIS) 数据 (2017-2019).
- 确定的老年患者 (65岁以上) 从LTCH转移到ED,随后在48小时内重新转移.
- 后勤回归分析以确定转移的风险因素.
主要成果:
- 140,282名老年患者从LTCH转移到ED;679人在48小时内经历了重新转移.
- 重新转移的患者住院率 (71.3%) 比最初转移的患者 (42.1%) 高.
- 重新转移的风险因素包括男性性别,夜间入院和更长的ED停留时间 (>6小时). 三级医院的转移率更高.
结论:
- 与老年患者的初始转移相比,在重新转移时,健康结果明显恶化.
- 一个协调的医疗保健系统至关重要,以确保适当的初始医院转移LTCH患者.
- 缓解ED重复访问需要在最初的转移过程中及时和充分的护理.
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