在COVID-19大流行之前和期间,急诊室的持续频繁使用:对100万用户的纵向研究
Theodoros V Giannouchos1,2,3, Wafaa Bkheit1, Hye-Chung Kum3,4
1Department of Health Policy and Organization, School of Public Health, The University of Alabama at Birmingham, AL.
Medical care
|January 20, 2026
概括
在COVID-19期间,持续的急诊室 (ED) 使用量有所下降,但老年人和患有慢性疾病的人仍然是频繁使用者的. 针对复杂的患者小组需要量身定制的干预措施.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 频繁的急诊室 (ED) 使用是一个重大问题,通常是由复杂的医疗需求驱动的.
- 了解常见ED (FED) 用户模式的变化对于资源配置和患者护理至关重要.
研究的目的:
- 分析成年ED使用者之间持续ED使用的变化,比较大流行前和大流行前的时期.
- 为了确定在疫情期间与疫情前时代相比,仍然是持续使用FED的个体的特征.
主要方法:
- 德克萨斯州ED数据 (2016-2022) 的回顾性纵向分析.
- 在36个月内检查了两个队列:2017年3月至2020年2月和2019年3月至2022年2月.
- 多变量回归评估了持续使用ED的变化 (≥9次ED访问/12个月).
主要成果:
- FED用户占所有ED用户的8%,但超过40%的访问.
- 在COVID-19发作后观察到持续使用FED的统计学上显著的7%下降.
- 老年人 (≥45岁),患有充血性心力衰竭,糖尿病并发症和公共保险的人更有可能继续使用FED.
结论:
- 持续使用ED在医疗复杂的个体中很常见.
- 持续使用FED用户中存在异质子组,需要量身定制的干预措施.
- 需要进一步的研究来制定针对这一群体的有针对性的策略.
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