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住院和急诊就诊的风险特征。

At-risk characteristics for hospital admissions and ED visits.

作者信息

Hudson Shannon M, Mueller Martina, Hester William H, Magwood Gayenell S, Newman Susan D, Laken Marilyn A

机构信息

Medical University of South Carolina, College of Nursing, Charleston, South Carolina, USA.

出版信息

J Spec Pediatr Nurs. 2014 Apr;19(2):183-93. doi: 10.1111/jspn.12068. Epub 2014 Mar 3.

Abstract

PURPOSE

The purpose of this study was to explore the factors associated with hospital utilization among infants and young children with complex chronic conditions (CCC).

DESIGN AND METHODS

A descriptive, retrospective study was conducted with 216 medical records of children with CCC.

RESULTS

Greater complexity, younger age, living with siblings, use of public insurance or self-pay, use of more than one type of insurance, and presence of conditions affecting certain body systems were associated with increased hospital and emergency department (ED) utilization.

PRACTICE IMPLICATIONS

Nurses must have a heightened awareness of these at-risk characteristics to prevent avoidable hospital admissions and ED visits.

摘要

目的

本研究旨在探讨患有复杂慢性病(CCC)的婴幼儿住院情况的相关因素。

设计与方法

对216份患有CCC儿童的病历进行了描述性回顾性研究。

结果

病情更复杂、年龄更小、与兄弟姐妹同住、使用公共保险或自费、使用不止一种保险类型以及存在影响特定身体系统的疾病与住院和急诊科(ED)就诊次数增加有关。

实践意义

护士必须对这些高危特征有更高的认识,以防止可避免的住院和ED就诊。

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