开发一个统一的老年急诊室数据库,2022年
Darya M Herscovici1, Krislyn M Boggs1, Maeve Swanton1
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA.
Annals of emergency medicine
|September 20, 2025
概括
美国老年急诊室 (GED) 的数量有所增长,非教学医院的数量显著增加. 鼓励进一步扩张到非城市地区.
科学领域:
- 老年急救医学的医学
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年急诊室 (GED) 对于改善老年人的急诊护理至关重要.
- 最近的举措重点是支持全国GED的认可和增长.
- 了解GED的分布和趋势对于战略发展至关重要.
研究的目的:
- 创建一个统一的数据库的老年急诊部 (GEDs) 在美国.
- 分析2017年至2022年GED的分布和增长模式.
- 为了告知老年急诊护理计划的未来扩展努力.
主要方法:
- 在2022年12月31日之前,在老年人ED协作 (GEDC) 或老年人ED认证 (GEDA) 计划中确定美国紧急部门 (ED).
- 包括老年友好医疗系统 (AFHS) 认可的医院进行全面分析.
- 将数据编制为2022年国家ED库存-美国数据库,并注明认可年份.
主要成果:
- 在2022年的5,622个非联邦ED中,确定了324个GED (5.8%) 和526个潜在GED (pGED,9.4%).
- 在城市地区,GED和pGED的位置不成比例.
- 在非教学医院中,从2017-2019年到2020-2022年,pGED的显著增加被观察到.
结论:
- 建议将老年急诊部协作 (GEDC) 和老年ED认证 (GEDA) 计划纳入统一的国家GED数据库.
- 自2017年以来,非教学医院的潜在GED显著增加.
- 鼓励将基于ED的老年医疗计划扩展到非城市社区ED.
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