Department of Emergency, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Department of Endocrinology and Metabolism, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Geriatr Gerontol Int. 2019 Aug;19(8):786-791. doi: 10.1111/ggi.13714. Epub 2019 Jun 14.
To assess whether elderly patients are prioritized under the emergency triage system in Guangzhou, China.
This was a cross-sectional survey of clinical data from adult visitors to the emergency department of the Third Affiliated Hospital of Sun Yat-sen University between 1 August 2015 and 31 December 2017. The primary end-point was receiving the first medical service within the target waiting time, which varied according to the triage level of the patient. Multivariate logistic regression was used to determine whether age was an independent predictor of a shorter waiting time.
Data from 262 282 emergency patients were analyzed. The mean age of patients was 35.97 years, and 7.5% were aged ≥65 years. In total, 88.3% of patients received medical service within the target waiting time, and 87.4% of elderly patients received medical service within the target waiting time. Multivariate logistic regression analysis showed that advanced age was independently associated with receiving medical service within the target waiting time (adjusted odds ratio 1.258, 95% confidence interval 1.198-1.321; P < 0.001). The triage level, type of emergency subdivision, availability of outpatient services and time of day were also associated with receiving medical service within the target waiting time.
Under the emergency triage system of the hospital, older adults are more likely to receive medical service within the target waiting time than younger patients. Geriatr Gerontol Int 2019; 19: 786-791.
评估在中国广州的急诊分诊系统下，老年患者是否得到优先考虑。
这是一项横断面调查，研究对象为 2015 年 8 月 1 日至 2017 年 12 月 31 日期间中山大学附属第三医院成人急诊科就诊的成年患者的临床数据。主要终点是在目标等待时间内接受首次医疗服务，该时间根据患者的分诊级别而有所不同。采用多变量逻辑回归确定年龄是否是等待时间更短的独立预测因素。
分析了 262282 例急诊患者的数据。患者的平均年龄为 35.97 岁，≥65 岁的患者占 7.5%。共有 88.3%的患者在目标等待时间内接受了医疗服务，87.4%的老年患者在目标等待时间内接受了医疗服务。多变量逻辑回归分析显示，年龄较大与在目标等待时间内接受医疗服务独立相关（调整后的优势比 1.258，95%置信区间 1.198-1.321；P<0.001）。分诊级别、急诊细分类型、门诊服务的可用性和一天中的时间也与在目标等待时间内接受医疗服务有关。
在医院的急诊分诊系统下，老年患者比年轻患者更有可能在目标等待时间内接受医疗服务。
