急诊科姑息治疗患者护理的经济成本
The Economic Cost of Nursing Care of Palliative Patients in the Emergency Department.
作者信息
Dos Santos Afonso Tânia, Capelas Manuel Luís, Martins Lurdes
机构信息
Center for Interdisciplinary Research in Health (CIIS), Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal.
出版信息
Healthcare (Basel). 2025 Feb 15;13(4):421. doi: 10.3390/healthcare13040421.
(1) Background: The economic cost of nursing care to palliative patients in avoidable hospital admission is unknown. (2) Methods: An observational, retrospective, and analytical study was used encompassing the economic cost of nursing care in a general hospital emergency department that uses descriptive and inferential statistical analysis. (3) Results: We have a sample of 273 palliative patients in preventable hospital admissions (76.3%, CI 95%: 71.7-80.8), deceased, in 2019. With a median of 84 years, about 80% were admitted home after 5 h of complaints, mainly due to respiratory symptoms. Patients remained for approximately 24 h in the emergency department, totaling a median of EUR 180.98 in nursing care costs per admission. (4) Conclusions: It was evident that with the knowledge obtained about palliative economic nursing costs, we could increase results, manage resources, and consolidate PC integration in health systems, as this study proved. This study was not registered.
(1) 背景：姑息治疗患者因可避免的住院而产生的护理经济成本尚不清楚。(2) 方法：采用一项观察性、回顾性和分析性研究，涵盖一家综合医院急诊科护理的经济成本，使用描述性和推断性统计分析。(3) 结果：我们有一个2019年因可预防住院（76.3%，95%置信区间：71.7 - 80.8）而死亡的273名姑息治疗患者的样本。中位年龄为84岁，约80%的患者在出现症状5小时后被送回家，主要原因是呼吸道症状。患者在急诊科停留约24小时，每次住院护理成本中位数总计为180.98欧元。(4) 结论：显然，正如本研究证明的那样，凭借所获得的关于姑息治疗经济护理成本的知识，我们可以提高成果、管理资源并巩固姑息治疗在卫生系统中的整合。本研究未注册。
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