识别儿童非计划再入院的高风险患者:西悉尼医院的见解
Owen Wraight1,2, Huma Sadulla3, Gary Low2,4
1Department of Paediatrics, Nepean Hospital, Nepean Blue Mountains Local Health District, Penrith, Australia.
Journal of paediatrics and child health
|January 20, 2025
概括
原住民儿童和更长的住院时间增加了未计划的儿科复诊. 年龄较大和COVID-19大流行病的入院减少了再入院风险. 糖尿病和支气管炎等特定诊断与更高的再入院率有关.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 未计划的儿科再接收对医疗保健系统构成重大负担.
- 确定特定的风险因素对于制定有针对性的干预措施至关重要.
研究的目的:
- 确定与儿科患者无计划再入院相关的人口因素和诊断.
- 为减少大都会医院重新入院率的战略提供信息.
主要方法:
- 从2017年1月到2022年12月的儿科住院病例的回顾性横截面研究.
- 多变量建模用于分析与28天内计划外再接收相关的因素.
主要成果:
- 6.3%的儿科住院导致未计划的再入院.
- 原住民身份 (OR 1.31) 和较长的逗留时间 (OR 1.05每天) 增加了再接收风险.
- 糖尿病 (OR 2.36) 和支气管炎 (OR 1.9) 诊断与更高的再入院概率相关,而受伤 (OR 0.76) 和中耳炎 (OR 0.23) 与更低的可能性相关.
结论:
- 原住民儿童和延长住院时间是未计划儿科再入院的关键预测因素.
- 在COVID-19大流行期间的老年和入院是防止再入院的保护因素.
- 特定的诊断,如糖尿病和支气管炎,需要专注的管理,以防止再入院.
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