导致家庭住院升级的因素:一个范围审查
Cesar A Gomez-Cabello1, Sahar Borna1, Syed Ali Haider1
1Division of Plastic Surgery, Mayo Clinic, Jacksonville, USA.
Hospital practice (1995)
|June 16, 2025
概括
在家医院 (H@H) 护理是有效的,但发生了回到医院的升级. 常见的原因包括跌倒,缺乏反应和疾病恶化,特别是在患有复杂疾病的患者中.
科学领域:
- 医疗保健管理的管理
- 老年医学 老年医学
- 内部医学 内部医学
背景情况:
- 医院在家 (H@H) 模式在家中提供安全,经济高效的急性和亚急性护理.
- 升级到传统的住院环境是一个挑战,破坏了家庭护理福利.
研究的目的:
- 分析导致患者从家庭医院计划中升级的因素.
- 为了确定患者的特征和与升级相关的临床因素.
主要方法:
- 对5个主要数据库进行了全面的范围审查.
- 搜索了2005年至今关于升级到和砂 (B&M) 设置的原因的研究.
- 提取了患者人口统计,H@H计划细节和升级预测因素的数据.
主要成果:
- 从2932篇初步论文中,有23项研究符合纳入标准.
- 常见的升级原因:跌倒,治疗不响应,疾病恶化,心脏问题,药物不良事件.
- 在传染病 (16%) 和心力衰竭 (9%) 中观察到更高的升级率.
- 升级的预测因素:年龄较大,查尔森并发症指数 (CCI) 较高,糖尿病,慢性病.
结论:
- 升级是由潜在的疾病,并发症和护理复杂性驱动的.
- "升级"定义的模糊性和各种协议阻碍了分析.
- 标准化定义和文档对于理解和防止升级至关重要.
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