Schwartzman K, Duquette G, Zaoudé M, Dion M J, Lagacé M A, Poitras J, Cosio M G
Respiratory Division, McGill University Health Centre, Montreal, Que.
CMAJ. 2001 Oct 16;165(8):1067-71.
In 1996 we established a day hospital dedicated to acute respiratory care, as an alternative to emergency department and inpatient treatment. The unit is staffed by respirologists, family physicians and specialized nurses; patients have access to all standard inpatient treatments and services. Between 1996/97 and 1998/99 the annual number of admissions to the day hospital increased from 658 to 922. By 1998/99 more than 75% of patients were referred for acute treatment, with a mean stay of 2.3 days. The most common diagnoses were asthma and chronic obstructive pulmonary disease, which accounted for 58% and 32% respectively of treatment-related admissions. Treatment most often involved intravenous corticosteroid therapy and inhaled bronchodilator therapy. Between 1996/97 and 1998/9 the proportion of patients requiring transfer to overnight care decreased from 22% to 14%; complications and unscheduled return visits were rare. We believe that a respiratory day hospital provides a useful alternative to emergency department and inpatient care.
1996年，我们设立了一家专门提供急性呼吸道护理的日间医院，作为急诊科和住院治疗的替代方案。该科室配备了呼吸科医生、家庭医生和专业护士；患者可以接受所有标准的住院治疗和服务。在1996/97年至1998/99年期间，日间医院的年入院人数从658人增加到922人。到1998/99年，超过75%的患者被转诊接受急性治疗，平均住院时间为2.3天。最常见的诊断是哮喘和慢性阻塞性肺疾病，分别占与治疗相关入院人数的58%和32%。治疗最常涉及静脉注射皮质类固醇疗法和吸入支气管扩张剂疗法。在1996/97年至1998/9年期间，需要转至夜间护理的患者比例从22%降至14%；并发症和非计划复诊很少见。我们认为，呼吸日间医院为急诊科和住院护理提供了一种有用的替代方案。
