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伤害护理及时性和住房状况
Hannah Decker1, Jennifer Evans2, Dave Graham Squire2
1Department of Surgery, University of California, San Francisco, 490 Illinois Street, Floor 7, San Francisco, CA 94158, USA.
Injury
|July 1, 2025
概括
无家可归的人得到及时的伤害护理,类似于有住所的人. 然而,没有住宿的患者在急诊室停留时间较长,这表明初级护理的潜在差异.
科学领域:
- 创伤外科 手术 创伤外科
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 与普通人群相比,无家可归的人经常经历更长的住院时间.
- 现有的研究表明,在无家可归人口的医疗保健准入和结果方面存在潜在的差异.
研究的目的:
- 调查无家可归的人与住房的人相比,是否获得及时伤害护理.
- 分析到手术室和急诊室停留时间的时间差异.
主要方法:
- 从2015年到2022年在一级创伤中心对成人受伤遭遇的回顾性队列研究.
- 通过将创伤登记册与全县综合数据合并来确定住房状况.
- 多变量线性回归模型根据临床和人口因素进行调整.
主要成果:
- 在21,264个创伤事件中,18.8%是无家可归的人.
- 在未住院和住院患者之间的手术室调整时间没有显著差异 (9.2 vs 9.9 小时).
- 没有住宿的患者在急诊室 (ED) 停留时间长17% (381分钟与326分钟相比;p < 0.001).
结论:
- 在无家可归和住房的个人之间,最终的伤害护理的及时性,例如手术,是可比的.
- 没有住宿的患者在急诊室的停留时间要长得多,这表明在最初的创伤评估和管理中存在潜在的瓶.
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