住宿时间在急诊室:谁执行TeleTriage是否重要?
Cassidy Lavin1, Anthony Roggio2, Claire Perry3
1University of Maryland Baltimore, School of Medicine, Baltimore, MD, United States of America.
The American journal of emergency medicine
|December 24, 2025
概括
医生主导的TeleTriage与非医生实践者 (NPP) 的TeleTriage相比,与更短的急诊室停留时间 (EDLOS) 有关. 这项研究强调了临床医生类型对急诊室患者流动的影响.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 远程医疗服务是远程医疗服务.
背景情况:
- 紧急诊所 (ED) 的访问量越来越多,导致患者等待时间更长.
- 远程医疗或TeleTriage用于远程查,以加快ED分拣过程.
- 远程治疗临床医师类型 (医生与非医生实践者 (NPP)) 对ED停留时间 (EDLOS) 的影响尚不清楚.
研究的目的:
- 调查执行TeleTriage的临床医生类型 (医生或NPP) 是否影响患者的EDLOS.
- 为了比较医生对NPPs的TeleTriaged患者的EDLOS.
主要方法:
- 在学术和社区ED中接受TeleTriage的患者的回顾性多中心研究.
- 纳入标准:所有接受TeleTriage的患者;排除标准:没有被看过,违背医疗建议出院,精神病学投诉.
- 多变量逻辑回归分析以确定与EDLOS>6小时相关的因素.
主要成果:
- 分析了8145名患者,54%通过NPP进行了TeleTriaged,46%由医生进行了TeleTriaged.
- 与医生TeleTriaged患者 (528分钟) 相比,NPP TeleTriaged患者 (739分钟) 的EDLOS中位数显著更长.
- 医生电话训练与较短的EDLOS (OR0.80) 相关,而晚班和学术EDS与较长的EDLOS相关.
结论:
- 与NPP执行的TeleTriage相比,医生执行的TeleTriage与长期EDLOS (>6小时) 的可能性降低.
- 除了临床医生类型之外,其他因素也可能影响EDLOS,需要进一步调查.
- 研究结果表明,医生参与TeleTriage的潜在好处是提高急诊室效率.
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