上海市某医院老年患者急诊滞留影响因素分析

发布时间：2018-12-25 15:49

【摘要】：目的·了解老龄化对急诊人群健康状况、病种、就诊压力和急诊滞留时间(EDLOS)的影响。方法·回顾性分析上海市某三级甲等医院2014—2016年所有急诊滞留患者信息,包括患者性别、年龄、就诊时间、诊断、EDLOS、转归、是否合并慢性疾病、感染或肿瘤等,分析影响EDLOS的危险因素。结果·纳入15 429例急诊患者,老年人(≥65岁)占总数54.96%。老年患者的EDLOS显著长于65岁患者(P=0.000);老年急诊合并年龄相关性慢性疾病的发生率(67%)明显高于65岁患者(52%)。合并肿瘤或感染是影响EDLOS的独立因素(P=0.000)。老年患者中,急性起病、需明确诊断者占14%。结论·老年急诊患者比例增加是急诊就诊压力升高的主要原因。老年急诊常涉及多样化的慢性疾病及并发症,延长EDLOS,占用急救资源。呼吁发展老年学科,给予老年患者多脏器慢性病整合治疗、慢病急发和病情进展对症治疗等多梯度的家庭—住院—急诊治疗模式。
[Abstract]:Objective to investigate the effects of aging on health status, disease type, visiting pressure and (EDLOS) of emergency population. Methods A retrospective analysis was made on the information of all emergency patients in a Grade 3A hospital in Shanghai from 2014 to 2016, including patient sex, age, time of visit, diagnosis, outcome of EDLOS, chronic disease, infection or tumor, etc. The risk factors affecting EDLOS were analyzed. Results among 15 429 emergency patients, the elderly (鈮，

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