无计划的30天住院再入院,吸烟状态和入院烟草治疗计划的暴露之间的关联
K Michael Cummings1, Avery Roberson1, Mary J Dooley2
1Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, United States.
概括
当前和以前的吸烟显著增加了计划外的重入院的风险. 虽然住院吸烟治疗计划显示出减少再入院的趋势,但结果在统计学上并不显著.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 吸烟是健康不良结果的已知危险因素,包括重入医院.
- 住院戒烟干预措施在减少再入院方面表现有前途,但证据需要进一步探索.
- 了解吸烟状况和再接收之间的关联对于有针对性的干预至关重要.
研究的目的:
- 调查入院时的吸烟状况与30天不计划的医院再入院之间的关联.
- 检查入院烟草治疗计划 (TTP) 对再接收率的缓解效应.
主要方法:
- 在南卡罗来纳州五家医院对44,669名成年患者进行了观察性队列研究.
- 使用电子健康记录,TTP数据和全州医疗保健利用数据.
- 员工倾向得分平衡和对共变量调整的逻辑回归;评估了4041名患者的TTP暴露.
主要成果:
- 与从未吸烟者相比,目前和前吸烟者的30天无计划再入院几率显著更高 (分别为OR=1.22和OR=1.13).
- 暴露于TTP的患者表现出较低再入院几率的趋势,但这在统计学上并不显著 (p<.05).
结论:
- 目前和过去的吸烟是30天计划外再入院的独立风险因素.
- 虽然住院烟草治疗计划显示出积极的趋势,但需要进一步的研究来确定统计学意义和优化干预措施.
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