住院后紧急医疗服务联系的频率
Emilie Sigvardt1, Markus Harboe Olsen2,3, Fredrik Folke4,5
1Department of Anaesthesia and Intensive Care, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark. emilie.sigvardt@regionh.dk.
由于AECOPD或败血症住院后出院的患者经常在30天内使用紧急医疗服务 (EMS). 关节和膝关节置换也显示出出院后的EMS呼叫率很高,这表明有针对性的干预领域.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 在出院后识别频繁的紧急医疗服务 (EMS) 用户对于防止患者病情恶化至关重要.
- 了解释后的EMS利用模式可以为目标干预和资源分配提供信息.
研究的目的:
- 分析各种医疗和外科医院入院类别中30天出院后紧急医疗服务 (EMS) 呼叫的频率.
- 为了确定住院后30天EMS呼叫率较高的患者队列.
主要方法:
- 用丹麦的电子病历和EMS数据进行回顾性队列研究.
- 对2021年8月至2022年8月期间出院的16338名患者每1000天活在医院外的30天EMS电话的分析.
- 包括因慢性阻塞性肺病 (AECOPD) 急性恶化,结肠直肠手术,败血症和18个其他类别而入院的患者.
主要成果:
- 整体EMS呼叫频率为每1000个患者日中的9.1个在出院后的30天内.
- 在AECOPD (15/1000天) 和败血症 (19/1000天) 后出院的患者的医疗住院急救服务呼叫率最高.
- 关节和膝关节置换手术患者的手术EMS呼叫频率最高 (12/1000天),其次是结直肠手术 (7.5/1000天).
结论:
- 患有AECOPD或败血症出院的患者代表了在出院后使用EMS的高风险群体.
- 主要的骨科手术,特别是关节和膝关节置换,与结直肠手术相比,离院后的EMS接触率更高.
- 研究结果强调,需要针对特定患者队伍量身定制的退院后护理策略,以减少再入院并优化EMS资源使用.
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