周末对住院死亡率的影响 - - 在斯洛伐克进行的第一个13年追溯观察研究
Orsolya Hrubá1, Lucia Žigová1, Michala Hrončová1
1Institute of Pharmacology and Clinical Pharmacology, Faculty of Medicine, Comenius University Bratislava, 81372 Bratislava, Slovakia.
Healthcare (Basel, Switzerland)
|June 26, 2025
概括
周末入院的患者面临着更高的住院死亡风险,这种现象被称为周末效应. 这项研究证实了斯洛伐克的这一趋势,强调了需要改善医院护理的一致性.
科学领域:
- 内部医学 内部医学
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 周末效应描述了周末和周日入院的死亡风险增加.
- 关于中欧,特别是斯洛伐克周末效应的数据有限.
研究的目的:
- 调查斯洛伐克周末效应的存在和程度.
- 确定受周末入院影响最大的患者群体.
- 探索与周末死亡率相关的临床和人口因素.
主要方法:
- 一项13年 (2010-2022) 的回顾性研究,对斯洛伐克内科医院的45955例住院治疗进行了研究.
- 统计分析,比较工作日和周末入院之间的住院死亡率.
- 后勤回归用于调整年龄,性别,住院时间和再住院;ICD-10代码用于死亡原因分类.
主要成果:
- 周末住院患者的住院死亡率明显高 (15.58%) 与周日住院患者 (10.47%) 相比.
- 即使经过调整 (aOR=1.31),周末入院仍然是死亡的强有力的预测因素.
- 心血管疾病是周末死亡的主要原因;在COVID-19大流行期间,这种影响更为明显.
结论:
- 该研究证实了斯洛伐克的周末效应,周末入院的死亡率更高.
- 解决这种差异的根本原因对于提高医院护理质量至关重要.
- 确保在整个星期内始终保持一致的患者护理是必不可少的.
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