Yuguero Oriol, Vena Ana, Forné Carles, Lacasta Jose Daniel, Llobet Cecilia, Abadías Maria José
Emergency Deparment. University Hospital Arnau de Vilanova de Lleida.
Urgency and Emergency Multi-discipliarany Research Group. IRBLleida.
Medicine (Baltimore). 2018 Nov;97(48):e13467. doi: 10.1097/MD.0000000000013467.
There are lack of indicators of quality of care in resuscitation units of emergency departments. With the aim of proposing a series of indicators to evaluate the quality of care delivered in hospital resuscitation areas, we conducted a descriptive study of 7579 admissions to the resuscitation unit of an emergency department at a Spanish hospital between 2012 and 2016. The proposed indicators were the percentage of patients attending to the emergency department admitted to the resuscitation area by level of triage, the length of stay, the percentage of patients moved to intensive care and surgery at disposition, the mortality in the area or in the emergency department within 24 hours of disposition, and the data completeness. A majority of the patients (62.6%) were men and the median age was 68 years. Over 99% of the required data were recorded. Median length of stay in the resuscitation unit was 0.87 hours (interquartile range, 0.5-1.5). Approximately 80% of patients categorized as an emergency on admission to the emergency department were admitted to the resuscitation unit, although the proportion of urgency patients was higher. The main disposition destination was a trauma cubicle (82.3% of cases). Mortality was 0.41%.Specific indicators are needed to assess the quality of care delivery in resuscitation units. We believe that our findings will provide new insights into the work done to date in this field.
急诊科复苏单元缺乏护理质量指标。为了提出一系列指标来评估医院复苏区域的护理质量，我们对2012年至2016年期间西班牙一家医院急诊科复苏单元收治的7579例患者进行了描述性研究。提出的指标包括按分诊级别划分的急诊科就诊患者进入复苏区域的百分比、住院时间、出院时转入重症监护和外科的患者百分比、出院后24小时内在该区域或急诊科的死亡率以及数据完整性。大多数患者（62.6%）为男性，中位年龄为68岁。超过99%的所需数据被记录。复苏单元的中位住院时间为0.87小时（四分位间距，0.5 - 1.5）。虽然急症患者的比例更高，但在急诊科入院时被分类为急症的患者中约80%进入了复苏单元。主要出院目的地是创伤病房（82.3%的病例）。死亡率为0.41%。需要特定指标来评估复苏单元的护理质量。我们相信我们的研究结果将为该领域迄今为止的工作提供新的见解。
