避免儿童急诊室的访问:相关因素和从大流行中吸取的经验教训
João Viana1,2, João Vasco Santos3,4,5, Andreia Pinto3,4
1MEDCIDS - Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal. joaoviana@med.up.pt.
BMC pediatrics
|April 8, 2025
概括
在COVID-19大流行期间,可避免的急救部门 (ED) 访问略有下降. 诸如年龄,一天中的时间和先前的访问等因素影响了这些入院,而回访在流行病后更有可能是可以避免的.
科学领域:
- 儿科急救医学 儿科急救医学
- 公共卫生政策 公共卫生政策
- 医疗保健系统分析 医疗保健系统分析
背景情况:
- 可避免的急诊室 (ED) 访问对医疗保健系统构成重大负担.
- 了解导致这些访问的因素对于优化资源分配和患者护理至关重要.
- 随着COVID-19大流行,医疗保健利用的模式可能发生了变化,包括ED访问.
研究的目的:
- 为了确定与可避免的ED入院相关的因素.
- 为了比较这些因素在COVID-19前和COVID-19期间.
主要方法:
- 追溯性研究设计.
- 在葡萄牙的一个大都会大学附属医院对儿科ED诊所的分析.
- 收集了2014年至2020年间访问的数据,包括COVID前和COVID期间.
主要成果:
- 在COVID前和COVID期间,可避免的访问量下降了7.2%.
- 与减少可避免的访问相关的因素包括年龄较大,早上入院 (4-7点),转诊和在72小时内先前的ED访问.
- 避免访问的可能性增加与年龄3-5岁,夏季和晚上访问 (8-11点) 相关.
- 发现了一个显著的转变:以前的72小时急救诊所访问,以前是保护性的,在大流行期间与更高的可避免访问的可能性有关.
结论:
- 可以避免的急救诊所的适度减少表明,医疗保健系统的结构和使用中存在着一种慢性问题.
- 可以避免的ED访问是多因素的,不是由单一原因驱动的.
- 调查结果可以为有针对性的政策干预提供信息,以减轻可避免的ED入院.
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