验证患者报告的结果措施以改善急诊室喘护理:观察性研究协议
Michelle P Lin1, Lauren Gordon1, Lynne D Richardson1
1Department of Emergency Medicine, Stanford University, Palo Alto, CA, United States.
JMIR research protocols
|May 29, 2025
概括
这项研究开发并验证了一种新的患者报告结果测量方法 (PROM),用于急诊室急性喘护理. 患者报告急性喘护理和治疗结果 (PROAACT) 工具旨在改善ED喘护理评估.
科学领域:
- 紧急医疗 紧急医疗
- 呼吸系统医学 呼吸系统医学
- 健康 结果 研究 研究 结果
背景情况:
- 喘影响美国每12个人中有1人,导致每年有190万次急诊室 (ED) 访问.
- 缺乏经过验证的患者报告结果措施 (PROM) 阻碍了改善ED喘护理的干预措施的评估.
- 这项研究解决了急性喘恶化ED环境中可靠PROMs的需求.
研究的目的:
- 开发和验证急性喘护理和治疗患者报告结果 (PROAACT) 仪器.
- 评估符合指南的ED护理是否与改善的PROAACT反应相关.
- 评估PROAACT得分与随后的ED复诊和住院治疗之间的联系.
主要方法:
- 一项前性队列研究,涉及三个城市ED的急性喘恶化成年患者.
- 参与者在ED访问期间完成初始PROM调查,并在解雇后7天完成后续调查.
- 项目响应理论将用于开发规模响应,用于分析与临床结果的关联.
主要成果:
- 招聘正在进行中,已有250多名参与者注册,并完成了200多次后续检查.
- 与COVID-19大流行相关的挑战影响了招聘时间表.
- 预计招聘将在2025年春季结束.
结论:
- 这项研究旨在验证在ED中经历急性喘恶化的成年患者的PROM.
- 成功完成将产生为成人ED患者设计的第一个PROM之一.
- 这些发现将支持在ED环境中收集PROM的可行性.
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