这么快就回来了？创伤后急诊科的使用特征。
Back so soon? Characterizing emergency department use after trauma.
机构信息
Medical College of Wisconsin, Division of Trauma, Critical Care, and Acute Care Surgery, 8701 Watertown Plank Rd. Milwaukee, WI, 53226, USA.
Medical College of Wisconsin, Division of Biostatistics, 8701 Watertown Plank Rd, Milwaukee, WI, 53226, USA.
出版信息
Am J Surg. 2020 Jul;220(1):217-221. doi: 10.1016/j.amjsurg.2019.10.046. Epub 2019 Nov 13.
BACKGROUND
Trauma readmissions have been well studied but little data exists regarding Emergency Department (ED) utilization following an injury. This study was performed to determine the factors associated with a return to the ED after trauma.
METHODS
A retrospective review of all adult trauma patients evaluated between January and December of 2014 was performed. Demographics, follow-up plan, and characteristics of ED visits within 30 days of discharge were recorded. Predictive factors of ED utilization were identified using univariate analysis and multi-logistic regression.
RESULTS
Fourteen percent of 1836 consecutive patients returned to the ED within 30 days of initial trauma. On multi-logistic regression, penetrating trauma (OR 2.15 p = 0.001), and scheduled follow-up (OR 1.81 p = 0.046) remained significant predictors.
CONCLUSIONS
Penetrating trauma victims are at increased risk of returning to the ED, most often because of wound or pain issues. Recognizing these factors allows for targeted interventions to decrease ED resource utilization.
背景
创伤再入院已经得到了充分的研究，但关于受伤后急诊部（ED）利用情况的数据却很少。本研究旨在确定与创伤后返回 ED 相关的因素。
方法
对 2014 年 1 月至 12 月期间所有接受评估的成年创伤患者进行了回顾性分析。记录了人口统计学数据、随访计划以及出院后 30 天内 ED 就诊的特征。使用单因素分析和多逻辑回归确定 ED 利用的预测因素。
结果
1836 例连续患者中有 14%在初次创伤后 30 天内返回 ED。多逻辑回归显示，穿透性创伤（OR 2.15，p=0.001）和计划随访（OR 1.81，p=0.046）仍然是显著的预测因素。
结论
穿透性创伤患者返回 ED 的风险增加，最常见的原因是伤口或疼痛问题。认识到这些因素可以有针对性地进行干预，以减少 ED 资源的利用。
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