意想不到的入院和患者导向的出院 - 了解创伤患者:范围审查
Susan S You1, Michael Kell1, Travis Nace2
1Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.
The Journal of surgical research
|April 27, 2025
概括
在创伤患者中,患者导向性出院 (PDD) 在年轻,社会经济弱势的个体和使用物质或精神病史的人群中更为常见. 不信任和伤害类型也会影响PDD决策.
科学领域:
- 创伤外科 手术 创伤外科
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 患者指导出院 (PDD),以前被称为违背医疗建议的出院,在创伤人群中缺乏研究.
- 创伤患者面临着独特的挑战,因为他们的伤害和住院的突然,意想不到的性质.
研究的目的:
- 进行对创伤患者患者指导性出院的范围审查.
- 为了确定患者的人口统计和与这一群体中PDD相关的因素.
主要方法:
- 在五个数据库 (1956-2023) 中进行了全面的文献搜索.
- 包括的研究重点是住院创伤患者患有PDD或PDD的原因.
- 不包括仅来自急诊室的PDD或涉及创伤性脑损伤的PDD.
主要成果:
- 在7931篇选中,有11篇文章符合纳入标准.
- 增加PDD的几率与年轻的年龄,较低的社会经济地位,无家可归,物质使用障碍和精神病史有关.
- 特定的伤害 (刺伤/枪伤,四肢/面部创伤) 和原因 (不信任,伤害特征,中毒/戒断) 与PDD有关.
结论:
- 需要进一步的研究,以了解风险创伤患者的成功干预措施.
- 在创伤患者中预防PDD的实施策略需要进行调查.
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