应急部门的等待时间与血液中酒精含量以及随后的酒精使用障碍相一致
Sean Hayes1, Kaylee Mach1, Jennifer Briggs2
1Office of Medical Student Research, Oklahoma State University College of Osteopathic Medicine at Cherokee Nation, Tahlequah, OK, USA.
Journal of osteopathic medicine
|April 24, 2025
概括
患有酒精使用障碍 (AUD) 病史的患者不会经历更长的急诊室 (ED) 等待时间. 然而,血中酒精含量阳性 (BAC+) 患者的ED等待时间较短,无论AUD病史如何.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 成精神病学成精神病学
背景情况:
- 酒精使用在美国很普遍,导致严重的医疗保健费用和生产力损失.
- 酒精使用障碍 (AUD) 是一种高度污名化的疾病,可能导致歧视和受影响患者的护理质量降低.
- 提供者对AUD患者的偏见可能会影响医疗保健体验.
研究的目的:
- 为了确定患有AUD病史和/或血中酒精含量阳性 (BAC+) 的患者是否改变了急诊室 (ED) 的等待时间.
- 为了研究社会人口学因素对ED等待时间的影响,在患有和没有AUD/BAC+的患者中.
主要方法:
- 一个横截面分析利用了2019-2021年国家医院门诊医疗调查 (NHAMCS) 的数据.
- 包括的患者有肌肉骨起源的初级诊断 (ICD-10代码"S"或"M").
- 测量等待时间从分拣入口到首次提供者联系,分析基于AUD病史 (AUD+/-) 和血中酒精含量 (BAC+/-) 的数据.
主要成果:
- 与没有AUD史的人相比,有AUD史和负BAC (AUD-/BAC-) 个体的ED等待时间没有显著差异.
- 阳性BAC (BAC+) 的患者经历了更短的ED等待时间,无论AUD病史如何.
- 具体来说,AUD-/BAC+患者的等待时间比AUD-/BAC-患者要短得多 (p<0.001). 与AUD-/BAC-患者相比,AUD+/BAC+患者的等待时间也较短 (p=0.006).
结论:
- 仅仅是AUD的病史似乎不会增加急诊室等待时间.
- 阳性BAC患者的ED等待时间较短可能归因于病情的紧急性 (例如,毒性,戒断,严重伤害) 或减少危害的协议.
- 这些发现表明,AUD状态本身并不导致ED护理的延迟,挑战了关于等待时间的潜在偏见.
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