时间到败血症警报和抗生素的比较 紧急病房患者按语言偏好
Rebecca J Schwei1, Christopher Shank1, Ryan E Tsuchida1
1BerbeeWalsh Department of Emergency Medicine, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin.
The Journal of emergency medicine
|January 21, 2026
概括
语言偏好会影响急救部门的败血症预警时间,一些分拣组的非英语发言者会更快地发出预警,但整体情况并非如此. 抗生素的时间保持一致,这表明潜在的警报,以确保公平的败血症护理.
科学领域:
- 紧急医疗 紧急医疗
- 健康 公平 卫生 公平
- 败血症 护理 治疗
背景情况:
- 以前的研究表明,与英语语言偏好 (ELP) 患者相比,非英语语言偏好 (NELP) 患者的败血症死亡率更高.
- 在急诊室 (ED) 设置中对NELP患者的败血症护理的差异仍然不清楚.
研究的目的:
- 为了比较NELP和ELP患者之间的败血症预警和抗生素治疗的时间.
- 分析紧急严重性指数 (ESI) 子组之间的这些差异.
主要方法:
- 追溯观察队列研究的设计.
- 首选语言是独立变量;时间到败血症预警和抗生素是依赖变量.
- 使用多变量调整加治疗重量的逆概率 (IPTW) 考克斯比例危险模型.
主要成果:
- 在NELP和ELP患者之间,在发生败血症警报或服用抗生素的时间上没有发现总体显著差异.
- 在ESI 2小组中,NELP患者比ELP患者更快地获得临床医生发起的败血症预警 (HR: 1.76).
- 在ESI 3-5小组中,NELP患者获得临床医生发起的败血症警报比ELP患者慢 (HR:0.64).
结论:
- 语言偏好与败血症警报时间的变化有关,可能与分拣分数分配和识别有关.
- 持续使用抗生素的时间表明,精心设计的最佳实践警报可以促进跨语言群体的公平性败血症护理.
更多相关视频
04:05Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
2.8K
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.5K
相关概念视频
Antibiotic Selection
59.5K
Overview
59.5K
Language
894
Language is a unique communication system that uses words and systematic rules to organize and transmit information. Unlike other forms of communication, which may involve postures, movements, odors, or vocalizations, language relies on symbols and grammar. This makes human communication distinct from that of other species, who also communicate but do not use language in the same way humans do.
Corballis and Suddendorf (2007) and Tomasello and Rakoczy (2003) highlight the role of language in...
Corballis and Suddendorf (2007) and Tomasello and Rakoczy (2003) highlight the role of language in...
894
Emerging Adulthood
644
Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
644
Components of Language
776
Language, whether spoken, signed, or written, consists of specific components: lexicon and grammar. The lexicon is the vocabulary of a language, comprising its words. Grammar is the set of rules used to convey meaning through the lexicon. For example, English grammar adds “-ed” to most verbs to indicate past tense. Words are formed by combining phonemes, which are the basic sound units of a language. Different languages have different sets of phonemes (e.g., “ah” vs.
776
Language Development
872
Children master language quickly and with relative ease, supported by both biological predisposition and reinforcement. B. F. Skinner (1957) proposed that language is learned through reinforcement, while Noam Chomsky (1965) argued that language acquisition mechanisms are biologically determined.
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
872
Language and Cognition
730
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
730
