慢性呼吸困难与更长的住院时间有关
David Currow1, Slavica Kochovska1, Rachael Evans2
1College of Medicine and Public Health, Flinders University, SA, Australia.
概括
慢性喘息严重影响医疗保健,导致更长的住院时间和意外入院. 识别和解决这种症状对于改善患者护理和卫生系统效率至关重要.
科学领域:
- 肺部医学 肺部医学
- 医疗保健系统研究 医疗保健系统研究
- 症状管理 症状管理
背景情况:
- 对于急性护理住院病人的住院时间 (LOS) 差异的了解很少,40-80%的因素仍然无法解释.
- 慢性呼吸困难,这是一种使人虚弱的症状,至少影响300名澳大利亚人中的1人,在历史上一直被卫生系统忽视.
- 慢性呼吸不良 (2022) 的国际疾病分类 (ICD) 代码的最近发展突出了其日益增长的认可.
研究的目的:
- 调查慢性喘息对非计划性住院和住院时间的影响.
- 倡导将慢性喘息评估纳入常规临床实践和卫生系统研究中.
- 通过考虑慢性症状的作用,探索急性护理LOS中无法解释的变化.
主要方法:
- 分析现有数据,将先前存在的呼吸困难 (在一般实践中捕获) 与住院频率和LOS联系起来.
- 在国际疾病分类 (ICD) 系统中对呼吸困难分类的演变进行审查.
- 确定有关慢性呼吸困难患者急诊室使用增加和长期LOS的驱动因素的研究缺口.
主要成果:
- 预先存在的慢性呼吸困难预测下一次计划外入院的时间更短.
- 慢性喘息的严重程度增加与更长的住院时间有关,即使控制了其他因素.
- 目前的卫生系统,通过ICD,以前只承认"急性呼吸困难"和"骨折".
结论:
- 慢性呼吸困难是一个重要的,未被认可的因素,有助于医疗保健利用和急性护理LOS的不明原因变化.
- 临床医生必须积极识别慢性喘息,卫生系统需要研究有效的管理策略.
- 为了准确的数据收集和有针对性的研究,利用慢性喘息的新ICD代码至关重要.
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