Health Status of Nonemergency Patients in the Emergency Department Using the EQ-5D

IF 1.2 4区 医学 Q3 EMERGENCY MEDICINE
Min Dai, Jingyuan Jiang, Lingjun Jiang, Jin Zhou, Lei Ye
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引用次数: 0

Abstract

Background. Emergency department (ED) overcrowding is influenced by several factors including the hospital’s capacity, staff, patient discharges, and community resources. The number of annual ED visits has increased, with patients’ medical needs exceeding emergency capacity, resulting in a widespread concern about emergency room overcrowding. Nonemergency patients tend to use large amounts of emergency medical resources, which is one reason for ED overcrowding. Most patients consider their medical cases urgent, whereas medical professionals consider many cases to be nonemergency. Only a few studies have examined self-rated health among nonemergency patients. Methods. This cross-sectional study was conducted in the ED of a tertiary hospital in China using the European Quality of Life Five-Dimensional Questionnaire to investigate the health status of nonemergency patients. Results. Among the 545 respondents, 246 (45.14%) self-assessed their health as excellent, 186 (34.13%) as very good, 70 (12.84%) as good, 32 (5.87%) as average, and 11 (2.02%) as poor. Problems related to pain/discomfort were reported by 317 (58.17%) participants, 214 (39.27%) responded that they had problems related to daily activities, 212 (38.90%) responded that they felt anxious or depressed, 211 (38.35%) responded that they had problems related to self-care, and some or extreme problems related to mobility were stated by 193 people (35.41%). Conclusions. Nonemergency patients generally reported good health. Pain/discomfort was the most significant factor affecting the health of nonemergency patients, followed by limitation of daily activities. The duration of illness onset and self-rated health status were common factors influencing the health status of nonemergency patients. This trial is registered with ChiCTR1900023578.
使用 EQ-5D 分析急诊科非急诊患者的健康状况
背景。急诊室(ED)过度拥挤受多种因素影响,包括医院的容量、员工、病人出院情况和社区资源。每年的急诊室就诊人数不断增加,患者的医疗需求超出了急诊室的容量,导致急诊室过度拥挤问题受到广泛关注。非急诊病人往往使用大量急诊医疗资源,这是急诊室人满为患的原因之一。大多数患者认为他们的病例很紧急,而医务人员则认为许多病例并不紧急。只有少数研究对非急诊患者的自我健康状况进行了调查。研究方法这项横断面研究在中国一家三级医院的急诊室进行,采用欧洲生活质量五维问卷调查非急诊患者的健康状况。研究结果在 545 名受访者中,246 人(45.14%)自评健康状况为 "优",186 人(34.13%)自评健康状况为 "很好",70 人(12.84%)自评健康状况为 "好",32 人(5.87%)自评健康状况为 "一般",11 人(2.02%)自评健康状况为 "差"。有 317 人(58.17%)表示存在疼痛/不适问题,214 人(39.27%)表示存在日常活动问题,212 人(38.90%)表示感到焦虑或抑郁,211 人(38.35%)表示存在生活自理问题,193 人(35.41%)表示存在一些或严重的行动不便问题。结论非急诊患者普遍表示健康状况良好。疼痛/不适是影响非急诊患者健康的最主要因素,其次是日常活动受限。发病持续时间和自评健康状况是影响非急诊患者健康状况的常见因素。该试验的注册号为 ChiCTR1900023578。
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来源期刊
Emergency Medicine International
Emergency Medicine International EMERGENCY MEDICINE-
CiteScore
0.10
自引率
0.00%
发文量
187
审稿时长
17 weeks
期刊介绍: Emergency Medicine International is a peer-reviewed, Open Access journal that provides a forum for doctors, nurses, paramedics and ambulance staff. The journal publishes original research articles, review articles, and clinical studies related to prehospital care, disaster preparedness and response, acute medical and paediatric emergencies, critical care, sports medicine, wound care, and toxicology.
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