解开物质使用障碍与30天计划外再接收之间的联系
Allison D Rosen1, Sae Takada2, Catherine Juillard3
1Department of Family Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
患有物质使用障碍 (SUD) 的医院患者面临30天无计划再入院的风险更高,特别是那些出院回家的人. SUD还与多次再入院相关,影响护理质量.
科学领域:
- 医疗保健质量研究研究
- 公共卫生 公共卫生
- 药物中毒药物 药物中毒药物
背景情况:
- 在美国,物质使用障碍 (SUD) 的患病率翻了一番.
- 住院患者越来越多地被诊断为SUD.
- 30天的无计划再入院是关键的护理质量指标.
研究的目的:
- 为了确定SUD诊断和30天不计划的医院再入院之间的关联.
- 调查排放处置对这种关联的影响.
主要方法:
- 使用电子健康记录进行回顾性队列研究.
- 数据来自两个城市学术医疗中心的22,108名住院患者.
- 暴露:SUD诊断;结果:30天的无计划再入院.
主要成果:
- 患有SUD的患者有更高的30天无计划再入院的风险 (aRR=1.24).
- 阿片类药物使用障碍特别增加了再接收风险 (aRR=1.40).
- 这种关联在被送回家的患者中是显著的 (aRR=1.33),并且在多次再入院时增加.
结论:
- SUD诊断与增加30天不规划的医院再入院有关.
- 患有SUD的患者占多重再入院患者的比例不成比例.
- 这些发现强调了需要有针对性的干预措施,以改善住院SUD患者的护理.
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