内科病房住院患者中延迟出院的发生率:一项跨部门研究
Filippo Binda1, Federica Marelli1, Valeria Cesana2
1Department of Healthcare Professions, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milan, Italy.
延迟出院,或"床阻塞"状态,影响了5.9%的内科病房入院. 这种长时间的住院治疗,通常是由于转移等待,导致并发症和逗留时间的增加.
科学领域:
- 内部医学 内部医学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 医院床位短缺是一个全球性的挑战.
- 由延迟排放引起的床堵塞加剧了这个问题.
- 了解病床阻塞者身份的普遍性对于医疗保健系统的效率至关重要.
研究的目的:
- 为了确定内科病房中病床阻塞病人的患病率.
- 识别导致放电延迟和相关并发症的因素.
主要方法:
- 在意大利米兰一家学术三级医院进行的横截面研究.
- 纳入标准:成年患者准备出院,但延迟超过24小时.
- 从电子医疗和护理记录中收集的数据,遵守STROBE指南.
主要成果:
- 5.9% (147/2480) 的内科住院患者经历了延迟出院.
- 延迟停留的中位数为14天,转移等待是主要原因.
- 这些并发症包括狂妄症 (31.3%) 和医院感染 (35.4%).
- 床上阻塞状态的预测因素:年龄较大 (≥75岁),延长住院时间,紧急住院,退院到长期护理.
结论:
- 延迟出院是内科的一个重大问题.
- 关键的驱动因素包括老年,护理人员缺席,以及在日常活动中的依赖.
- 解决这些因素可以改善医院病床利用率和患者的治疗结果.
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