老年人重新去急诊所的相关因素:一项横断分析研究
Saengdao Janda1, Juree Sansuk1
1Praboromarajchanok Institute, Khon Kaen, Thailand.
概括
许多老年人在出院后的60天内再次访问急诊室 (ED). 改进出院规划和专家后续行动可以减少这些潜在的可预防的ED再出院.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 老年人急诊室 (ED) 的再出诊是一个日益严重的全球健康问题.
- 这种现象往往表明慢性疾病管理,出院计划和护理连续性的缺陷.
研究的目的:
- 为了调查老年人中ED重新出席的频率.
- 为了确定患者和系统层面的因素,与ED重新出席在60天内出院后.
主要方法:
- 从2023年7月到2024年8月进行了一项横截面分析研究.
- 从400名老年成人患者和340名医疗保健专业人员收集了数据,使用医疗记录和问卷.
- 使用了描述性统计和多重物流回归分析.
主要成果:
- 35%的老年人在出院后的60天内再次访问ED.
- 与再出院相关的重要因素包括以前的急救诊所 (OR=3.92),先前住院 (OR=1.97),缺乏专家随访 (OR=2.27),以及在M2级医院接受治疗 (OR=7.28).
结论:
- 在老年人中,ED重复参加的比例很高.
- 干预措施的重点应该是加强出院流程,确保及时的专家随访,并改善初级保健协调,以减少可避免的ED访问.
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