警察送诊者急诊服务结局的预测因素：一项回顾性队列研究。
Predictors of Emergency Department service outcome for people brought in by police: A retrospective cohort study.
机构信息
School of Nursing and Midwifery, Griffith University, Parklands Dr, Southport, QLD 4222, Australia; Menzies Health Institute Queensland, Griffith University, Parklands Dr, Southport, QLD 4222, Australia.
School of Nursing and Midwifery, Griffith University, Parklands Dr, Southport, QLD 4222, Australia; Menzies Health Institute Queensland, Griffith University, Parklands Dr, Southport, QLD 4222, Australia; Department of Emergency Medicine, Gold Coast Hospital and Health Service, 1 Hospital Blvd, Southport, QLD 4215, Australia.
出版信息
Int Emerg Nurs. 2022 Jul;63:101188. doi: 10.1016/j.ienj.2022.101188. Epub 2022 Jul 4.
BACKGROUND
People brought in by police (BIBP) to the emergency department (ED) can present with complicated health conditions that may impact care delivery. We sought to identify factors predictive of an ED length of stay (LOS) ≥4 hours and hospital admission for presentations BIBP.
METHODS
This retrospective cohort study comprised a sample of all adults (aged ≥ 18 years old) BIBP to public hospital EDs across Queensland, Australia between 1 January 2018 and 31 December 2020. Univariate and multivariate logistic regression were used to identify predictors of an ED LOS ≥4 hours and hospital admission for presentations BIBP.
RESULTS
Of the 42,502 presentations BIBP, independent predictors of an ED LOS ≥4 hours included higher priority triage categories, hospital transfer/admission, evening/night shift arrival, an Emergency Examination Authority (EEA), (i.e. an involuntary presentation), and a non-descript mental health diagnosis. Independent predictors of hospital admission included higher priority triage categories, increasing age, day/evening shift arrival, a 'mental or behavioural issues' diagnosis, and an ED LOS ≥4 hours.
CONCLUSIONS
Noted predictors of a LOS ≥4 hours and hospital admission indicate further need to support intra and inter-agency interventions to optimise patient outcomes.
背景
警方送来的人员（BIBP）到急诊科（ED）就诊时可能伴有复杂的健康状况，这可能会影响医疗服务的提供。我们旨在确定 ED 住院时间（LOS）≥4 小时和因 BIBP 就诊而住院的预测因素。
方法
这项回顾性队列研究的样本包括 2018 年 1 月 1 日至 2020 年 12 月 31 日期间在澳大利亚昆士兰州所有因 BIBP 到公立医院 ED 就诊的成年人（年龄≥18 岁）。使用单变量和多变量逻辑回归来确定 ED LOS≥4 小时和因 BIBP 就诊而住院的预测因素。
结果
在 42502 例 BIBP 就诊中，ED LOS≥4 小时的独立预测因素包括更高的分诊类别、医院转院/入院、夜间/夜间轮班到达、紧急检查授权（EEA）（即非自愿就诊）和非描述性的心理健康诊断。住院的独立预测因素包括更高的分诊类别、年龄增加、白天/夜间轮班到达、“精神或行为问题”诊断和 ED LOS≥4 小时。
结论
注意到 LOS≥4 小时和住院的预测因素表明需要进一步支持内部和机构间的干预措施，以优化患者的治疗效果。
Zotero 插件