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停留时间 儿科宿舍诊断:从单一中心的回顾经验
Emily Sierakowski1, Claudia Delgado Corcoran2, Dominic Moore2
1Intermountain Healthcare (E.S., J.M.), Salt Lake City, UT.
Journal of pain and symptom management
|August 3, 2025
概括
儿科住院护理利用率显示,同时护理住院导致住院时间更长. 短暂停留和迟到的转诊仍然是儿科终身护理的挑战.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 临终关怀医院和息医学
- 医疗保健利用研究研究 医疗保健利用研究
背景情况:
- 儿科住院为患有绝症儿童提供关键护理,通常预后为六个月或更短.
- 关于各种儿科诊断的临终关怀利用模式的数据有限.
- 了解这些趋势对于优化儿童生命末期护理至关重要.
研究的目的:
- 为了对儿科住院患者进行回顾性分析.
- 描述基于不同诊断的临床趋势和住院利用情况.
- 确定影响儿童住院停留时间的因素.
主要方法:
- 2015年至2023年为期的儿科住院患者 (0-23岁) 的单一中心回顾性研究.
- 用描述性统计数据分析了临终关怀诊断,住院时间 (LOS) 和护理类型 (传统与并发).
- 患者被分为瘤,神经,遗传/代谢和心血管诊断组.
主要成果:
- 同时护理的宿舍患者的中位数LOS (33天) 比传统宿舍 (14天) 长得多.
- 超过一半的儿童 (58%) 住宿时间不到一个月,20%的儿童迟到转诊 (LOS ≤3天).
- 在四个主要诊断类别中没有发现LOS的统计学上显著差异.
结论:
- 同时护理模式与更长时间的儿科住院住院有关.
- 短暂的住院长度和迟到的转诊仍然存在,这表明了改善准入和及时入学的领域.
- 在这个队列中,根据初级诊断,宿舍LOS没有显著变化.
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