在急诊室的情境性侵略评分的动态评估 选与行为干预有关:一项跨部门研究
Amy D Costigan1,2, Martin A Reznek1,2, Christopher Slocum2
1Department of Emergency Medicine, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
概括
在急诊室的局势侵略性高动态评估 (DASA) 评分预测了对身体克制或安全药物的需求增加. 该工具有助于管理患者的攻击性,并确保工作人员和患者的安全.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 在急救部门 (ED) 的侵略性增加威胁到患者和工作人员的安全.
- 关于ED暴力风险的预测工具的研究有限.
- 情境侵略性动态评估 (DASA) 评分是潜在的风险评估工具.
研究的目的:
- 为了评估DASA分数在分类和使用身体限制或安全药物的使用之间的关联.
- 为了确定DASA得分是否可以预测ED遭遇期间干预的需要.
主要方法:
- 从2023年1月到12月对159,154例ED遭遇 (患者≥18岁) 的回顾性研究.
- 在选过程中分配了DASA分数,并将其分类为风险级别 (低,中等,高,迫在眉).
- 修改Poisson回归分析了DASA得分与干预措施 (限制或药物) 之间的关联.
主要成果:
- 较高的DASA分数与增加使用身体克制和安全药物的相关性.
- 临近风险的DASA得分与任何干预的风险增加了4.71倍,而DASA得分为0.
- 具体调整后的患病率为3.63的身体克制和5.26的药物管理.
结论:
- 在ED分拣时DASA得分升高是随后限制或药物使用的显著预测因素.
- 在DASA得分显示承诺作为一种工具,用于识别患有侵略风险的患者.
- 进一步的研究应该探索基于DASA分数和连续的DASA评估的主动干预措施.
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