Robbins T, Linney L, Nicholson T, Stein A
University Hospitals Coventry and Warwickshire NHS Trust.
Oxford University Hospitals NHS Trust.
Future Hosp J. 2014 Jun;1(1):28-32. doi: 10.7861/futurehosp.14.009.
The aim of this study was to characterise the patients and outcomes of an acute medical take. 107 consecutive patients admitted to the acute medical take in a tertiary referral centre were investigated and followed-up at 6 months. Data were collected within the following domains: demographics, observational parameters, initial clinical care, outcomes, patient flow and follow-up. There was a high prevalence of renal dysfunction (27%) and possible/probable sepsis (56%). 22% of patients benefitted from early advanced imaging. Average length of stay (LoS) was 8.15 days for general medicine patients vs 3.23 for patients treated by specialist teams (p < 0.05). LoS was 11.1 days longer if patients' biochemistry suggested probable sepsis (p < 0.05). 31% were readmitted within 6 months. We conclude that patients presenting to the acute medical take are physiologically stable, though frequently present with renal impairment or sepsis, and that specialist patients experienced a shorter LoS. These data are important in planning the future provision of acute medical care.
本研究的目的是对急性内科接诊的患者及其治疗结果进行特征描述。对一家三级转诊中心连续收治的107例急性内科接诊患者进行了调查，并在6个月时进行了随访。数据收集涵盖以下领域：人口统计学、观察参数、初始临床护理、治疗结果、患者流程及随访。肾功能不全（27%）和可能/疑似脓毒症（56%）的患病率很高。22%的患者受益于早期高级影像学检查。普通内科患者的平均住院时间（LoS）为8.15天，而专科团队治疗的患者为3.23天（p<0.05）。如果患者的生化检查提示可能患有脓毒症，住院时间会延长11.1天（p<0.05）。31%的患者在6个月内再次入院。我们得出结论，前来急性内科接诊的患者生理状况稳定，尽管经常伴有肾功能损害或脓毒症，且专科患者的住院时间较短。这些数据对于规划未来急性内科护理的提供具有重要意义。
