败血症在家出院后的特征和再入院风险
Sang Bin You1, Jiyoun Song1, Jesse Y Hsu2
1University of Pennsylvania School of Nursing, NewCourtland Center for Transitions and Health, Philadelphia, PA.
Medical care
|January 10, 2025
概括
在家庭医疗保健 (HHC) 后出院的老年败血症幸存者有更高的30天再入院率. 这凸显了对这些复杂患者的专业护理的需要,以减少医院再入院.
科学领域:
- 老年学是一门学科.
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 败血症幸存者,特别是老年人,在出院后面临重入医院的重大风险.
- 家庭医疗保健 (HHC) 是一种常见的后急性服务,但它对败血症幸存者的再入院率的影响尚未完全理解.
研究的目的:
- 在老年败血症幸存者中调查30天再入院的特征和风险因素.
- 专门研究接受家庭医疗保健 (HHC) 对这些再接收率的影响.
主要方法:
- 这是一项回顾性队列研究,利用密集护理医疗信息中心 (MIMIC) -IV数据库 (2008-2019).
- 综合估计方程 (GEE) 模型用于分析65岁以上患者的数据,这些患者在败血症住院后退院,有或没有HHC.
- 对社会人口统计学和临床因素进行了调整,以评估HHC与30天全因再入院之间的关联.
主要成果:
- 该研究包括9115例败血症患者,其中6822例患者被送回家 (66.8%接受了HHC).
- 接受HHC治疗的患者通常年龄较大,患有更多的并发病,住院时间较长,感染性休克率较高.
- 尽管疾病严重程度较高,但HHC接受者在30天内再入院的几率高出14% (aOR:1.14,95%CI:1.02-1.27) 与没有HHC出院的人相比.
结论:
- 患有HC的老年败血症幸存者出院后的30天再入院率高于没有HC的患者.
- 这表明,由于毒症的复杂健康状况,需要在HHC环境中为毒症幸存者提供增强的专业护理.
- 鉴于这两个群体的再入院率很高,针对性干预对于优化所有老年败血症幸存者的急性后护理至关重要.
相关概念视频
01:31Discharge Summary Forms
742
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
742
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.0K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.0K
01:29Appendicitis-II: Diagnostic Studies and Management
64
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
64
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
01:26Factors Affecting the Risk of Infection
11.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.3K
01:22Healthcare Associated Infections II: Preventive Measures
2.4K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.4K