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在状细胞疾病患者中使用急性护理,状细胞数据收集计划,8个美国州,2018年

Parker Parks1, Joshua I Miller2, Shamaree Cromartie Jones3

  • 1Division of Population Health Data, Office of Family Health Services, Virginia Department of Health, Richmond, VA, USA.

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概括

对于状细胞病患者来说,住院和急诊室 (ED) 访问是常见的. 大多数急性护理事件,包括住院治疗,都始于ED,这凸显了改善门诊管理的必要性.

关键词:
使用急性护理使用急性护理.紧急情况部门访问访问医疗保健的差异,医疗保健的差异公共医疗保险是公共医疗保险.状细胞疾病是一种状细胞疾病.

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科学领域:

  • 血液学 血液学 血液学
  • 公共卫生 公共卫生
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 状细胞疾病 (SCD) 的管理需要了解急性护理利用模式.
  • 改善SCD患者的护理机会需要分析住院和急诊室 (ED) 访问趋势.

研究的目的:

  • 描述SCD患者的急性护理使用情况.
  • 确定不同年龄组和性别的急性护理利用模式.
  • 分析2018年关于SCD患者住院和急救访问的数据.

主要方法:

  • 在CDC的状细胞数据收集计划中,利用来自8个州的基于人口的数据进行了横截面研究.
  • 分析了2018年27,034名确诊或可能诊断为SCD的个人数据.
  • 检查住院情况,ED治疗和释放 (T / R) 访问和再入院情况.

主要成果:

  • 2018年,SCD队列中,有40.2%的人至少有一次住院,有57.0%的人至少有一次ED T/R访问.
  • 在98,617次急性护理中,93.6%涉及ED.
  • 大多数SCD患者的住院治疗是在ED开始的.

结论:

  • 在SCD患者中,住院病例很常见,影响不到研究人口的一半.
  • 超过一半的SCD人口使用ED服务,大多数住院病例源自ED.
  • 需要进一步的研究来了解急性护理使用的变化,高的EDT/R率,以及SCD的门诊治疗策略.