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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.

DOI:10.3390/healthcare13040421
PMID:39997296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11854947/
Abstract

(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.

摘要

(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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本文引用的文献

1
Avoidable emergency admissions: defining the concept.可避免的急诊入院:概念界定。
Int J Palliat Nurs. 2024 Aug 2;30(8):432-443. doi: 10.12968/ijpn.2024.30.8.432.
2
Palliative Care in Portugal-From Intention to Reality, What Is Yet to Be Accomplished.葡萄牙的姑息治疗——从意向到现实,仍有待完成的事项。
Nurs Rep. 2023 Oct 23;13(4):1477-1485. doi: 10.3390/nursrep13040124.
3
Report of the Lancet Commission on the Value of Death: bringing death back into life.《柳叶刀》死亡价值委员会报告:让死亡回归生命。
Lancet. 2022 Feb 26;399(10327):837-884. doi: 10.1016/S0140-6736(21)02314-X. Epub 2022 Feb 1.
4
Hospice or Hospital: The Costs of Dying of Cancer in the Oncology Care Model.临终关怀机构还是医院:肿瘤护理模式下癌症患者的死亡成本
Palliat Med Rep. 2020 Jun 25;1(1):92-96. doi: 10.1089/pmr.2020.0023. eCollection 2020.
5
An Emergency Department Clinical Algorithm to Increase Early Palliative Care Consultation: Pilot Project.急诊科临床算法以增加早期姑息治疗咨询:试点项目。
J Palliat Med. 2021 Dec;24(12):1776-1782. doi: 10.1089/jpm.2020.0750. Epub 2021 May 20.
6
Management of catastrophic haemorrhage in palliative head and neck cancer: creation of a new protocol using simulation.姑息性头颈部癌症中灾难性出血的管理:使用模拟创建新方案。
BMJ Open Qual. 2020 Nov;9(4). doi: 10.1136/bmjoq-2020-001003.
7
Emergency Department Use by Terminally Ill Patients: A Systematic Review.终末期患者急诊科使用情况的系统评价。
J Pain Symptom Manage. 2021 Mar;61(3):531-543. doi: 10.1016/j.jpainsymman.2020.08.009. Epub 2020 Aug 19.
8
Adverse events in deceased hospitalised cancer patients as a measure of quality and safety in end-of-life cancer care.以死亡住院癌症患者的不良事件作为衡量终末期癌症关怀质量和安全的指标。
BMC Palliat Care. 2020 Jun 1;19(1):76. doi: 10.1186/s12904-020-00579-0.
9
Variability of cost trajectories over the last year of life in patients with advanced breast cancer in the Netherlands.荷兰晚期乳腺癌患者在生命最后一年的成本轨迹变化。
PLoS One. 2020 Apr 9;15(4):e0230909. doi: 10.1371/journal.pone.0230909. eCollection 2020.
10
Palliative care and the Portuguese health system.姑息治疗与葡萄牙医疗体系。
Porto Biomed J. 2016 May-Jun;1(2):72-76. doi: 10.1016/j.pbj.2015.07.002. Epub 2016 May 1.