重新评估急诊室流感负担:使用行政数据进行全面的现实世界分析
Dariush Khezrimotlagh1, Sara Imanpour2, Erol Akbas1
1School of Science, Engineering, and Technology, Pennsylvania State University, Harrisburg, Pennsylvania, United States of America.
PloS one
|February 18, 2026
概括
流感的急诊室访问不那么严重,需要比其他访问更少的资源. 这表明流感病例可能适合替代护理环境,减轻医院负担.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在流感季节,急诊室 (ED) 面临着大量患者.
- 在大规模数据中,流感ED访问的临床和运营概况尚不清楚.
研究的目的:
- 为了比较流感ED访问与非流感ED访问的并发症负担,结果,资源利用和再接收模式.
- 为了确定流感ED访问是否代表高严重性病例使卫生系统承受压力,或在替代环境中可以管理的较低急性病例.
主要方法:
- 分析了2019年纽约州紧急情况部门 (SEDD) 数据库中超过550万名患者记录的分层样本.
- 根据并发症,严重程度,资源使用和再接收数据,将流感访问与所有其他ED遭遇进行比较.
主要成果:
- 流感ED访问表明,并发症负担较低,没有观察到死亡率,总费用减少,逗留时间更短.
- 与非流感患者相比,患有流感的患者的整体再入院次数较少,再入院前的平均时间较长,并且30天的再入院率明显较低.
结论:
- 流感ED访问通常具有较低的复杂性和资源负担.
- 这些发现提供了经验证据,以告知季节性护理规划和对EDs的资源分配,可能会将低急性流感病例转移到替代护理环境中.
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