长时间停留在急诊室是否对患者安全构成风险?
Anna Eidstø1,2, Jalmari Tuominen2, Jari Ylä-Mattila1,2
1Department of Emergency Medicine, Tampere University Hospital, Tampere, Finland.
概括
在芬兰的一项医院研究中,长时间入住急诊室 (EDLOS) 并没有增加10天死亡率. 这一发现甚至在考虑急诊室拥挤时也是如此.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 急诊室停留时间 (EDLOS) 是拥挤的指标,也是患者结果的潜在风险因素.
- 以前的研究表明,长期EDLOS和不良事件之间存在联系,但结果各不相同.
- 需要进一步研究EDLOS对短期死亡率的影响,特别是在不同的ED占用水平期间.
研究的目的:
- 为了确定长期住院时间 (EDLOS) 对短期死亡率的影响.
- 在不同的急诊室占用条件下同时分析这些结果.
主要方法:
- 对58,440次急诊室访问导致入院的回顾性队列研究.
- 2018年1月至2020年2月期间从芬兰坦佩雷大学医院ED收集的数据.
- 10天全因死亡率是主要结果,分析与EDLOS在数小时内,控制混因素和ED拥挤 (占用率>90%).
主要成果:
- 10天死亡率为1.6% (938名患者).
- 在调整后的分析中,长时间的EDLOS与10天死亡率的增加无关 (或每小时增加1.01).
- 在拥挤和非拥挤的急诊室小组中,研究结果保持一致.
结论:
- 在这家芬兰三级医院,长时间住院在急诊室 (EDLOS) 并不是10天死亡率的独立风险因素.
- 调整混因素和急诊室拥挤情况并没有改变这种关联.
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