多学科的气管切除术团队减少了儿科患者急诊室的使用量:一项回顾性队列研究
Basir S Mansoor1, Matthew Zhang1, Stephen Chorney1,2
1Department of Otolaryngology UT Southwestern Medical Center Dallas Texas USA.
Laryngoscope investigative otolaryngology
|December 17, 2025
概括
多学科气管切除组 (MDT) 在儿童气管切除患者中显著减少了50%的急诊室 (ED) 访问. 这些好处在COVID-19大流行期间持续存在,证明了护理的持续改善.
科学领域:
- 儿科肺病学 儿科肺病学
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 气管切除术的儿科患者往往需要经常访问急诊室 (ED).
- 优化对这些脆弱患者的护理对于减少医疗保健利用率和改善结果至关重要.
研究的目的:
- 评估多学科气管切除组 (MDT) 干预措施对急诊室 (ED) 在需要气管切除的儿科患者的利用的影响.
主要方法:
- 一项回顾性队列研究分析了2015年至2023年间接受气管切除术的364名儿科患者的数据.
- 研究阶段包括干预前,干预后 (COVID前),COVID-19和COVID后恢复.
- 参数生存分析和混合效应负二项式回归被用来分析ED访问频率和第一次ED访问的时间.
主要成果:
- 在干预后,COVID前期间,MDT实施与ED访问率减少50%相关.
- 这种减少是通过COVID-19大流行 (减少65%) 和COVID后恢复 (减少91%) 持续的.
- 干预后,到第一个ED访问的时间显著增加,呼吸系统疾病占ED访问的34%.
结论:
- 多学科气管切除组 (MDT) 有效地减少了儿童气管切除患者的急诊室利用率.
- MDT对减少ED访问的积极影响是持续的,即使是在COVID-19大流行等具有挑战性的时期.
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