在诊所的治疗是否会影响与有关的入院?
Revital Gandelman-Marton1, Jacques Theitler1
1Neurology Department, Shamir-Assaf Harofeh Medical Center, Zerifin, Israel; Faculty of Medicine, Tel Aviv University, Israel.
Seizure
|December 14, 2024
概括
对于患者来说,定期访问神经病理诊所可以减少紧急住院治疗. 随访护理改善了控制,并减少了与抗药物问题相关的入院.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 与相关的紧急住院治疗对患者构成重大风险.
- 神经科医生的门诊护理对于加强控制至关重要.
- 门诊神经病学服务可以减少急诊室的访问和住院.
研究的目的:
- 为了调查紧急入院的原因.
- 为了比较患者的入院病因,有和没有先前的临床随访.
- 确定影响入院率的因素.
主要方法:
- 从2012-2021年对医疗记录的回顾性审查.
- 对134名成人患者的分析,这些患者在门诊诊所接受治疗和看病.
- 基于入院前临床随访的患者组比较.
主要成果:
- 之前接受过诊所随访的患者随后因而入院的次数较少 (p=0.024).
- 这些患者因抗发作药物 (ASM) 不坚持或停药 (p=0.038) 导致入院的次数较少.
- 之前参加诊所的患者更有可能继续进行随访,并接受更多的ASM.
结论:
- 诊所的随访似乎减少了和ASM相关的住院病例.
- 需要进一步的研究来探索ASM多疗法和剂量对入院率的影响.
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