澳大利亚维多利亚州老年护理机构居民中与伤害相关的急诊科就诊情况
Injury-Related Emergency Department Presentations Among Residential Aged Care Residents in Victoria, Australia.
作者信息
Yeganeh Ladan, Bugeja Lyndal, Berecki Janneke, Laughlin Adrian, Ibrahim Joseph
机构信息
Department of Forensic Medicine, 2541Monash University, Southbank, VIC, Australia.
22457Monash Nursing and Midwifery, Monash University, Clayton, VIC, Australia.
出版信息
J Aging Health. 2022 Mar;34(2):206-212. doi: 10.1177/08982643211039299. Epub 2021 Aug 17.
OBJECTIVE
This study aimed to quantify and describe the characteristics of emergency department (ED) injury presentations and subsequent hospital admissions among residents of residential aged-care facilities (RACFs) in Victoria, Australia between 2008 and 2018.
METHODS
This study comprised a single jurisdiction population-based study of consecutive injury-related ED presentations of RACFs residents using the Victorian Emergency Minimum Dataset (VEMD).
RESULTS
The rate of ED injury presentations per 100,000 population decreased by .8% per year over 10 years ( = .03); however, the rate per 100,000 RACF bed days increased by .6% per year ( = .05). The proportion of presentations subsequently admitted to hospital increased 4.0% per year (<.0001). The majority of presentations were due to falls (82.5%), with fracture(s) being the most common injury type (34.0%).
DISCUSSION
The increased rate of ED visits and hospital admissions in RACFs residents highlights the need to design specialized emergency care services and/or provide better direct access to hospital care for this vulnerable population.
目的
本研究旨在对2008年至2018年间澳大利亚维多利亚州老年护理机构（RACFs）居民在急诊科（ED）的受伤情况及随后的住院情况进行量化并描述其特征。
方法
本研究采用维多利亚州急诊最小数据集（VEMD），对RACFs居民连续的与受伤相关的ED就诊情况进行了单辖区基于人群的研究。
结果
每10万人口的ED受伤就诊率在10年中每年下降0.8%（P = 0.03）；然而，每10万个RACF床位日的就诊率每年上升0.6%（P = 0.05）。随后住院的就诊比例每年增加4.0%（P<0.0001）。大多数就诊是由于跌倒（82.5%），骨折是最常见的受伤类型（34.0%）。
讨论
RACFs居民的ED就诊率和住院率上升，凸显了为这一弱势群体设计专门的急诊护理服务和/或提供更好的直接住院护理途径的必要性。
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