成年人心力衰竭急诊医疗服务利用的预测因素; 2009-2017 年。
Predictors of emergency medical services use by adults with heart failure; 2009-2017.
机构信息
Indiana University School of Nursing, 600 Barnhill Dr., Indianapolis, IN 46202, United States.
Boston College William F. Connell School of Nursing, 140 Commonwealth Avenue, Chestnut Hill, MA 02467,United States.
出版信息
Heart Lung. 2020 Sep-Oct;49(5):475-480. doi: 10.1016/j.hrtlng.2020.03.002. Epub 2020 Apr 3.
BACKGROUND
Heart failure (HF) necessitates frequent transport by emergency medical services (EMS), but few studies have been conducted to evaluate predictors of EMS use and of multiple EMS transports that are amenable to intervention.
OBJECTIVES
To characterize prehospital clinical status of community-dwelling adults with reported HF who used EMS across 8 years and to evaluate predictors of EMS use and multiple EMS transports.
METHODS
Data were from a database in a large Midwestern county. Descriptive statistics, logistic and negative binomial regression were used for analysis.
RESULTS
EMS transports were evaluated for 6582 adults with 16,905 transports. The most common chief complaints were respiratory problems, feeling sick, and chest pain. Shortness of breath, chest pain, level of consciousness, age, gender, race, and hospital site predicted multiple transports.
CONCLUSIONS
Clinicians need to educate patients with HF about ways to manage shortness of breath and chest pain and when to activate EMS.
背景
心力衰竭（HF）需要频繁通过急救医疗服务（EMS）进行转运，但很少有研究评估可干预的 EMS 使用和多次 EMS 转运的预测因素。
目的
描述 8 年来使用 EMS 的报告有 HF 的社区居住成年人的院前临床状况，并评估 EMS 使用和多次 EMS 转运的预测因素。
方法
数据来自中西部一个大县的数据库。描述性统计、逻辑回归和负二项回归用于分析。
结果
对 6582 名成年人的 16905 次转运进行了 EMS 转运评估。最常见的主要症状是呼吸问题、恶心和胸痛。呼吸困难、胸痛、意识水平、年龄、性别、种族和医院地点预测多次转运。
结论
临床医生需要教育 HF 患者如何管理呼吸困难和胸痛以及何时激活 EMS。
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