对警察带来的精神健康问题患者的急诊服务结果相关因素的更正:一项回顾性队列研究。

IF 1.4 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Rachel Wardrop, Jamie Ranse, Wendy Chaboyer, Jesse T Young, Stuart A Kinner, Julia Crilly
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引用次数: 0

摘要

目的本研究旨在确定与急诊(ED)住院时间≥4小时(h)和警察带来的精神健康问题患者住院相关的因素。方法:我们对2012年1月1日至2017年12月31日警察带来的全州成人ED心理健康报告进行了回顾性观察性队列研究。我们使用多变量逻辑回归来确定与急症住院时间≥4小时和住院率相关的因素。结果共纳入9325例由警方带到昆士兰州急诊科的精神健康问题急诊科报告。与ED住院时间≥4小时最密切相关的因素包括:澳大利亚分诊评分(ATS)为1分、年龄在85岁或以上、夜班住院和随后住院。入院时,ATS为1,年龄≥85岁,ED住院时间≥4小时是最强的影响因素。研究结果表明,有针对性的心理健康护理模式可以更好地支持被警察带到急诊科的人。这种模式应该包括急诊科、院前提供者(警察和救护车)和心理健康服务,以支持早期干预,并有可能减少长时间在急诊科住院和随后住院的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Corrigendum to: Factors associated with emergency department service outcomes for people with a mental health problem brought in by police: a retrospective cohort study.

Objective This study aimed to identify factors associated with an emergency department (ED) length of stay ≥4 hours (h) and hospital admission for people with a mental health problem brought in by police. Methods We undertook a retrospective, observational cohort study of state-wide adult ED mental health presentations brought in by police from 1 January 2012 to 31 December 2017. We used multivariable logistic regression to determine factors associated with an ED length of stay ≥4 h and hospital admission. Results In total, 9325 ED presentations with a mental health problem brought in by police to Queensland EDs were included. Factors most strongly associated with an ED length of stay ≥4 h included an Australasian Triage Score (ATS) of 1, an age of 85 years or older, night shift arrival and subsequent hospital admission. For hospital admission, an ATS of 1, an age of 85 years or older and an ED length of stay ≥4 h were the strongest factors. Conclusion Findings indicate opportunities for targeted mental health models of care to better support people brought in by police to an ED. Such models should involve ED, pre-hospital providers (police and ambulance) and mental health services to support early intervention and potentially reduce the likelihood of a long ED length of stay and subsequent hospital admission.

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来源期刊
Australian Health Review
Australian Health Review 医学-卫生保健
CiteScore
2.90
自引率
5.60%
发文量
134
审稿时长
6-12 weeks
期刊介绍: Australian Health Review is an international, peer-reviewed journal that publishes contributions on all aspects of health policy, management and governance; healthcare delivery systems; workforce; health financing; and other matters of interest to those working in health care. In addition to analyses and commentary, the journal publishes original research from practitioners – managers and clinicians – and reports of breakthrough projects that demonstrate better ways of delivering care. Australian Health Review explores major national and international health issues and questions, enabling health professionals to keep their fingers on the pulse of the nation’s health decisions and to know what the most influential commentators and decision makers are thinking. Australian Health Review is a valuable resource for managers, policy makers and clinical staff in health organisations, including government departments, hospitals, community centres and aged-care facilities, as well as anyone with an interest in the health industry. Australian Health Review is published by CSIRO Publishing on behalf of the Australian Healthcare and Hospitals Association.
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