使用临床途径安全地减少急诊室内的转移和入院
Donna R Wyly1, Kathleen Berg2,3,4, Andrea Melanson2
1Division of Urgent Care, Children's Mercy Kansas City.
使用额外的赛血上腺素 (RE) 和共享决策的修订后组临床途径 (CP) 并没有显著降低转移率,但改善了离院时间,但没有增加复诊次数.
科学领域:
- 儿科急救医学 儿科急救医学
- 临床途径实施实施
- 呼吸系统疾病管理 呼吸系统疾病管理
背景情况:
- 是常见的儿科呼吸系统疾病.
- 从紧急护理 (UC) 到管理的转移率可能很高.
- 优化临床途径 (CP) 可能会减少转移并改善患者的治疗结果.
研究的目的:
- 评估修订后的形临床途径 (CP) 对紧急护理 (UC) 转移率的影响.
- 评估额外的血脉上腺素 (RE) 和共享决策对患者情绪的影响.
主要方法:
- 追溯队列研究,比较CP前修订期 (2021年11月至2022年10月) 和CP后修订期 (2022年11月至2023年10月).
- 分析了3个UCs中形患者的转移率,RE施用和出院时间.
- 用于评估随时间的趋势的中断时间序列分析.
主要成果:
- 在RE给药后转移患者的百分比显著下降 (32.5%至10.6%).
- 间断时间序列分析显示下降趋势,但随着时间的推移没有显著差异.
- 在RE的90分钟内排出量显著增加 (13.5%至33.3%),回访次数没有变化.
结论:
- 修订后的Croup CP显示了RE后转移的下降趋势,尽管随着时间的推移而不是统计学上显著的.
- 实施额外的RE剂量和UC的共享决策并没有增加停留时间或回访时间.
- 该途径有效地提高了患者的出院效率.
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