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让依赖气管造口通气的儿童回家:陷阱与结局

Sending children home on tracheostomy dependent ventilation: pitfalls and outcomes.

作者信息

Edwards E A, O'Toole M, Wallis C

机构信息

Great Ormond Street Hospital for Children NHS Trust, London, UK.

出版信息

Arch Dis Child. 2004 Mar;89(3):251-5. doi: 10.1136/adc.2003.028316.

Abstract

In spite of the consistency of the primary discharge coordinator in our practice and attempts to streamline the process, the obstacles to discharge highlighted five years ago remain frustratingly similar. The children in this survey spent an average of 9.6 months extra time in hospital awaiting discharge at considerable cost to the local commissioning teams, quite apart from the emotional cost to the child and stress for the whole family. We hope in future years this review will enable health practitioners and local health providers to anticipate the hurdles, address the problems early, and expedite the process of discharging home children who are dependent on long term ventilation via tracheostomy.

摘要

尽管我们诊所的主要出院协调员始终如一,并努力简化流程,但五年前凸显的出院障碍仍令人沮丧地相似。本次调查中的儿童平均在医院多待了9.6个月等待出院,这给当地委托团队带来了相当大的成本,更不用说对孩子的情感成本以及整个家庭的压力了。我们希望在未来几年,这项审查将使医疗从业者和当地医疗服务提供者能够预见障碍,尽早解决问题,并加快那些依赖气管造口长期通气的儿童出院回家的进程。

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