在临床医生,住院医生和高级实践临床医生中,儿童腹痛的资源利用和吞吐量
A G Nuwan Perera1, Robert Tisherman2, Raymond Pitetti1
1University of Pittsburgh School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Pittsburgh, Pennsylvania.
The western journal of emergency medicine
|December 11, 2025
概括
针对儿科腹部疼痛的高级实践临床医生 (APC) 接触导致逗留时间更长,资源利用率增加,与参加或住院接触相比. 这突出了优化急诊室护理的潜在领域.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健操作 医疗保健操作
- 临床资源利用率 临床资源利用率
背景情况:
- 紧急部门 (ED) 的临床医生类别可能会影响患者的护理结果.
- 了解不同类型的临床医生对停留时间 (LOS) 和资源使用的影响对于儿科腹痛管理至关重要.
研究的目的:
- 评估紧急诊所医生类别对LOS和腹痛儿童资源利用的影响.
- 为了比较由主治医生,高级实践临床医生 (APC) 和监督住院人员领导的遭遇.
主要方法:
- 在四级护理的儿科ED中,对3874名儿科患者 (4-18岁) 的腹痛进行了回顾性图表审查.
- 收集的数据包括人口统计,LOS,处置,复诊,实验室测试,放射学研究,咨询和临床医生类别 (仅参加,仅APC,监督住院).
- 统计分析包括ANOVA,奇平方,克鲁斯卡尔-瓦利斯测试和后勤回归,不包括医学复杂和高急性病例.
主要成果:
- 高级实践临床医生 (APC) 遇到的时间比参加或住院遇到的时间长17-21分钟,控制共变量.
- 与参加或住院接触相比,APC接触显示出咨询,实验室检测和放射学研究的可能性增加.
- 在临床医生类别之间没有观察到入院率或72小时复诊率的显著差异.
结论:
- 紧急诊所医生类别,特别是APC,与儿科腹痛病例的逗留时间和资源利用率的增加有关.
- 结果表明需要进一步的研究,以优化医疗保健资源分配和小儿急诊护理的效率.
- 该研究确定了改善护理途径和基于临床医生类型的资源管理的潜在目标.
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