在工作时间以外的初级保健中实施败血症预测评分:可行性和可接受性研究
Feike J Loots1, Lonneke A van Vught1, Minou van den Brande1
1Department of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
The European journal of general practice
|November 10, 2025
概括
一般医生 (GPs) 办公时间外 (OOH) 家庭访问的新的败血症预测得分是可行的和可接受的. 总医生发现,该得分对急性病患者的败血症意识和临床决策有用.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 临床决策支持 临床决策支持
- 败血症管理管理
背景情况:
- 临床评分系统有助于败血症预测和治疗指导.
- 开发了一种新的败血症预测评分,用于急性病患的成年人,在家庭访问期间由非工作时间 (OOH) 的全科医生 (GPs) 看到.
研究的目的:
- 评估在OOH GP家庭访问期间实施这种败血症评分的可行性和可接受性.
- 收集通用医生的经验和使用分数的观点.
主要方法:
- 在荷兰的两个OOH GP合作社进行了一项基于理论的混合方法研究.
- 数据收集涉及全科医生计算败血症得分,填写可用性问卷,并参加重点小组和采访.
主要成果:
- 77%的全科医生在所有患者中使用了败血症评分,而在急性病患者中使用了85%.
- 91%的全科医生认为得分很方便,66%的人认为它可靠和准确.
- 该分数在所有病例的6%和急性病例的10%影响了转诊决定,作为临床判断的辅助.
结论:
- 在OOH初级保健家庭访问中实施败血症预测得分对于全科医生来说是可行的,可以接受的和有用的.
- 未来的研究应该专注于这种败血症评分的临床验证和成本效益.
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