在德国急诊科常规临床信息记录中识别低危就诊。
Identification of low-acuity attendances in routine clinical information documented in German Emergency Departments.
机构信息
Emergency and Acute Medicine (CVK, CCM), Health Services Research in Emergency and Acute Medicine, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
出版信息
BMC Emerg Med. 2023 Jun 6;23(1):64. doi: 10.1186/s12873-023-00838-2.
INTRODUCTION
It has not yet been possible to ascertain the exact proportion, characterization or impact of low-acuity emergency department (ED) attendances on the German Health Care System since valid and robust definitions to be applied in German ED routine data are missing.
METHODS
Internationally used methods and parameters to identify low-acuity ED attendances were identified, analyzed and then applied to routine ED data from two EDs of the tertiary care hospitals Charité-Universitätsmedizin Berlin, Campus Mitte (CCM) and Campus Virchow (CVK).
RESULTS
Based on the three routinely available parameters disposition´, transport to the ED´ and `triage´ 33.2% (n = 30 676) out of 92 477 presentations to the two EDs of Charité-Universitätsmedizin Berlin (CVK, CCM) in 2016 could be classified as low-acuity presentations.
CONCLUSION
This study provides a reliable and replicable means of retrospective identification and quantification of low-acuity attendances in German ED routine data. This enables both intra-national and international comparisons of figures across future studies and health care monitoring.
引言
由于缺乏适用于德国急诊常规数据的有效且可靠的定义，因此尚未能够确定低危急诊科（ED）就诊在德国卫生保健系统中的确切比例、特征或影响。
方法
确定、分析了国际上用于识别低危 ED 就诊的方法和参数，然后将其应用于柏林夏洛蒂医科大学两家三级保健医院的急诊常规数据，即夏洛蒂医科大学 Mitte 校区急诊（CCM）和夏洛蒂医科大学 Virchow 校区急诊（CVK）。
结果
根据常规可用的三个参数“处置”、“送往 ED”和“分诊”，2016 年 Charité-Universitätsmedizin Berlin（CVK、CCM）两家急诊就诊的 92477 例就诊中，有 33.2%（n=30676）可归类为低危就诊。
结论
本研究为德国 ED 常规数据中回顾性识别和量化低危就诊提供了一种可靠且可复制的方法。这使得未来研究和医疗保健监测中能够进行国际和国内的比较。
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