Lambe Institute for Translational Research, National University of Ireland Galway, Galway, Ireland.
University Hospital Galway, Galway, Ireland.
Phlebology. 2023 Jun;38(5):341-347. doi: 10.1177/02683555231174995. Epub 2023 May 9.
Venous leg ulcers (VLU) are prevalent and require a large investment of resources to manage. We investigated whether the introduction of a rapid access see-and-treat clinic for VLU patients affected rates of unplanned inpatient admissions with VLU.
The Hospital Inpatient Enquiry database was consulted for data on admission rates, length of stay, bed-days used, and costs, across a 4-year period; 2 years since the introduction of the clinic, and the 2 years prior as a control.
Two hundred and eighteen patients admitted with VLU accounted for 2,529 inpatient bed-days, 4.5 (2-6) admissions per month, and a median hospital stay of 7 (4-13) days across the study period. Median admissions decreased from 6 (2.5-8.5) per month before, to 3.5 (2-5) after introduction of the clinic ( = 0.04). Bed-day usage fell from 62.5 (27-92.5), to 36.5 (21-44) days per month ( = 0.035).
Admissions and bed-day usage for inpatient management of VLU fell after commencing a one-stop, rapid access clinic.
静脉性腿部溃疡（VLU）较为普遍，需要投入大量资源进行管理。我们研究了 VLU 患者快速就诊和治疗诊所的引入是否会影响 VLU 患者非计划性住院入院率。
在 4 年期间，通过医院住院查询数据库查阅了入院率、住院时间、住院天数和费用的数据；引入诊所的 2 年和作为对照的前 2 年。
218 例 VLU 入院患者共占用 2529 个住院日，每月 4.5（2-6）次入院，中位住院时间为 7（4-13）天。在研究期间，每月的平均住院次数从之前的 6（2.5-8.5）次减少到引入诊所后的 3.5（2-5）次（ = 0.04）。住院天数从 62.5（27-92.5）天减少到 36.5（21-44）天/月（ = 0.035）。
开设一站式快速就诊和治疗诊所后，VLU 患者的住院管理入院人数和住院天数减少。
