在儿科和一般急救部门的简要解决的不明原因事件的资源利用情况
Daniel M Fein1,2, Leon Chen2,3, Nina Samuel4
1Department of Pediatrics, Division of Pediatric Emergency Medicine, Children's Hospital at Montefiore.
Pediatric emergency care
|September 11, 2025
概括
高风险的简短解决的不明原因事件 (BRUE) 在一般急诊室 (GED) 与儿科急诊室 (PED) 相比,接受的诊断测试较少. 这表明了在不同紧急情况下标准化BRUE测试和管理的机会.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 简要解决的不明原因事件 (BRUE) 需要在紧急部门仔细分配资源.
- 风险分层对于管理BRUE和优化诊断测试至关重要.
研究的目的:
- 为了比较较低风险与高风险BRUE的诊断测试使用情况.
- 分析一般 (GED) 和儿科 (PED) 紧急诊所对BRUE病例的资源利用差异.
主要方法:
- 过去6.5年的BRUE病例的回顾性图表审查.
- 风险组和ED类型之间的诊断测试计数 (实验室,成像,心血管) 的比较.
- 负二项式回归用于识别与增加BRUE测试相关的因素.
主要成果:
- 风险较高的BRUE病例接受的诊断测试总体上比风险较低的病例多.
- 与PED相比,在GED中对高风险的BRUE进行的测试较少.
- 在GED和PED之间的低风险BRUE测试中没有显著差异.
结论:
- 在高风险BRUE的诊断测试中,在GED和PED之间存在显著的差异.
- 减少测试变异性和标准化BRUE病例管理的机会.
- 大多数BRUE病例,无论风险如何,都被录取或转移.
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