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.
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.
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.
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