概括
大约有一半疑似心脏病患者没有住院治疗,有些人后来被诊断为心肌梗塞. 以前的心脏病史显著影响住院决策,影响患者的护理.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对疑似冠状动脉疾病的患者进行准确的分组至关重要.
- 错误的住院决定可能会导致患者的不良后果和资源的错误分配.
研究的目的:
- 评估未住院的疑似冠状动脉问题患者的结果.
- 确定导致这些患者住院不足和过度住院的因素.
主要方法:
- 一个为期一年的前性随访研究,对患者进行了推测冠状动脉问题的研究.
- 分析住院决定和随后的诊断.
- 对影响处置决策的因素进行统计评估.
主要成果:
- 近50%的患者没有入院;其中6%的患者后来被诊断为心肌梗塞.
- 在所有心肌梗塞病例中,有10%的病例最初没有入院.
- 56%的住院患者被认为是不必要的入院.
- 以前的心脏病住院是这两种类型错误的重要因素.
结论:
- 许多疑似心脏紧急情况的患者没有入院,很大一部分患者后来被诊断为心肌梗塞.
- 不必要的住院治疗也是一个重大问题.
- 医生决策受患者病史,人口统计和初步诊断结果的影响.
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