在英国一家主要的创伤中心提供终身护理
Sarah Edwards1, Nicola Ubayasiri2
1Emergency Department, Royal Derby Hospital, Derby, UK drsarahedwards@hotmail.com.
BMJ supportive & palliative care
|March 3, 2025
概括
大多数在急诊室 (ED) 死亡的患者都是老年和脆弱的. 很大一部分没有尝试心肺复苏 (DNACPR) 命令,通常由ED临床医生发起.
科学领域:
- 紧急医疗 紧急医疗
- 老年病的医生 老年病的医生
- 抚慰性护理是一种缓解性护理.
背景情况:
- 在急诊室 (ED) 的死亡是常见的.
- 有限的数据存在于患者的人口统计学和生命末期 (EOL) 经验在ED.
研究的目的:
- 探索主要创伤中心急救室死亡患者的人口统计数据.
- 分析ED环境中的终身护理 (EOL) 经验.
主要方法:
- 在ED中死亡的18岁以上患者的回顾性审查.
- 收集的数据:人口统计,脆弱性得分,到达时间,EOL决定,死亡原因和不要尝试心肺复苏 (DNACPR) 文件.
主要成果:
- 在2023年,在ED中死亡的患者数量为326人.
- 76%的人年龄在65岁以上,69%的人有脆弱度 ≥5.5.
- 从EOL决定到死亡的平均时间为1小时53分钟;60%有DNACPR命令.
结论:
- 终身护理 (EOL) 在ED中越来越重要.
- 需要进一步的研究来比较这些发现与其他EDs.
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