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紧急病房和住院病人的医院间转移,为患者的状态

Catherine G Suen¹, Andrew J Wood¹, James F Burke²

¹Department of Neurology, University of California, San Francisco, San Francisco, California, USA.

|January 11, 2025

概括

对于状态 (SE) 的医院间转移是常见的,特别是来自急诊室 (ED). 与住院转移相比,从ED转移的患者在医院停留时间更短,EEG和家庭出院率更高.

科学领域:

神经学神经学
医疗保健服务研究医疗服务研究
紧急医疗紧急医疗

背景情况:

由于状态 (SE) 的医院间转移是频繁的,有可能避免.
由于不同的资源和激励因素,急诊室 (ED) 和住院机构之间的转移模式可能会有所不同.
关于SE从ED转移到住院治疗的研究有限,影响护理优化和降低成本.

研究的目的:

描述SE的医院间转移特征.
检查转移地点 (ED与住院患者) 和住院时间之间的关系.
确定影响SE患者转移决策和结果的因素.

主要方法:

使用佛罗里达州和纽约州数据库 (2016-2019,2018-2019) 进行的横截面研究.
包括SE正在接受医院间转移的成年患者.
主要结果:转移后的释放. 二次结果:排放时间,EEG接收和处置.

主要成果:

18.1%的ED遭遇和7.3%的SE住院导致转移.
经过ED转移的患者更年轻,更经常是白人,来自大都市地区,并患上较少的并发病.
退院时间中位数为ED转移后5天,而入院后10天;ED转移的EEG和家庭退院率更高.

结论:

很大一部分SE患者,特别是来自ED的患者,在医院间转移后不久就出院了.
了解转移的驱动因素对于有效的资源配置和降低治疗成本至关重要.
进一步的研究应该集中在转移的原因上,以优化患者分拣和资源利用.

关键词:

放电是什么意思放电是什么意思医院间转移医院间转移状态性的状态

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