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在德国因败血症住院后的过渡性护理-基于人口的AVENIR队列研究的结果
Thomas Ruhnke1, Josephine Storch2, Antje Freytag2
1AOK Research Institute (WIdO), Rosenthaler Strasse 31, 10178, Berlin, Germany.
Infection
|July 8, 2025
概括
败血症幸存者在出院后经历了显著的医疗保健利用. 流行病年 (2020) 与流行病前年相比,死亡率增加和随访护理延迟.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 败血症生存率与长期健康问题有关,影响死亡率和医疗保健需求.
- 从医院到门诊机构的有效过渡护理至关重要,但人们对其了解甚少.
- 了解出院后的医疗保健利用是改善败血症幸存者的关键.
研究的目的:
- 在医院出院后90天内调查败血症幸存者的医疗保健利用模式.
- 为了比较2016-2019年和COVID-19流行病的第一年 (2020) 之间的败血症幸存者的过渡护理.
主要方法:
- 这是一项回顾性队列研究,利用来自"AOK-die Gesundheitskasse"的全国健康声明数据.
- 使用ICD-10代码识别的败血症患者用于败血症和器官功能障碍 (2016-2019).
- 包括2020年队列中的有机器功能障碍的败血症,COVID-19和流感患者.
- 评估医疗保健利用率,并使用桑基图表可视化第一个医疗服务提供者联系人.
主要成果:
- 在2016-2019年 (n=234,874) 中,94.4%的人看过全科医生,47.7%的人重入医院,42.8%的人需要在90天内接受紧急治疗.
- 大多数败血症幸存者立即与医疗保健联系,主要是与门诊医生联系.
- 在2020年 (n=69,432) 中,更多的幸存者在没有随访的情况下死亡,并且增加了初始医疗保健联系的延迟.
结论:
- 败血症幸存者在住院和门诊环境中经常和早期接受随访护理.
- 由于COVID-19的流行,可能会对毒症的幸存者进行及时的出院后护理.
- 在随访护理期间,有必要对败血症的早期查和有针对性的干预措施.
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