顾问主导的多学科住院医疗对患者结局的影响。
The impact of consultant-delivered multidisciplinary inpatient medical care on patient outcomes.
机构信息
Department of Medicine, University Hospital Southampton, UK.
出版信息
Clin Med (Lond). 2013 Aug;13(4):344-8. doi: 10.7861/clinmedicine.13-4-344.
Consultant-delivered care has been shown to improve outcomes for acute medical patients. However, the ideal composition of a medical team to support consultant-delivered care is not clear and little is known about the effect of continuing consultant-delivered care until the patient is discharged. Between December 2011 and April 2012, 260 general medical patients requiring inpatient care were managed by a consultant-delivered multidisciplinary team (CD-MDT) and 150 patients by a standard consultant-led team of trainee doctors. The length of hospital stay was significantly lower for patients managed by a CD-MDT than for those managed by a standard team (4-5 days vs 7 days, p<0.001). No difference between the groups was seen for readmission rates, patient safety or mortality. In conclusion, a CD-MDT is a safe and effective model of inpatient medical care and is associated with a shorter length of hospital stay.
顾问主导的医疗服务已被证明可以改善急性内科患者的治疗效果。然而，支持顾问主导的医疗服务的理想医疗团队构成尚不清楚，对于顾问主导的医疗服务一直持续到患者出院的效果也知之甚少。在 2011 年 12 月至 2012 年 4 月期间，260 名需要住院治疗的内科患者由顾问主导的多学科团队（CD-MDT）管理，150 名患者由标准的由受训医生组成的顾问领导的团队管理。由 CD-MDT 管理的患者的住院时间明显短于由标准团队管理的患者（4-5 天与 7 天相比，p<0.001）。两组之间在再入院率、患者安全性或死亡率方面没有差异。总之，CD-MDT 是一种安全有效的住院内科医疗模式，与较短的住院时间相关。
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