优化心脏病非住院治疗路径：在大流行后的医疗保健环境中避免入院和及时干预的综合方法。

Q3 Medicine

Acute Medicine Pub Date : 2024-01-01

Ken Teh, Claire MacLeod, Ross T Campbell, David Murdoch, Kenneth Mangion, Faheem Ahmad

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引用次数: 0

摘要

导言：心血管疾病是医疗系统的沉重负担，也是导致可避免的入院治疗的重要原因。我们提出了心脏病非住院医疗路径：我们开展了一项为期 1 个月的研究，将入院患者从初级和急诊转入心脏病非住院医疗中心，该中心在热门诊提供分诊服务，并提供多模式检测平台：98名患者被转诊至非住院医疗中心，其中91人避免了入院治疗。52名患者在心脏病中心接受了治疗，其中38人需要进一步检测：我们成功地简化了各种服务流程，减少了入院次数，改善了患者的治疗效果。事实证明，门诊 CTCA、门诊心电图和超声心动图检查发挥了重要作用。我们预计每月住院日可节省成本 53,379 英镑（每年可节省 640,556 英镑）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

本刊更多论文

Optimising Cardiology Ambulatory Care Pathways: A Comprehensive Approach to Admission Avoidance and Timely Intervention in a Post-Pandemic Healthcare Landscape.

Introduction: Cardiovascular diseases are a substantial burden on healthcare systems, contributing significantly to avoidable hospital admissions. We propose a Cardiology Ambulatory Care Pathway.

Methods: Conducted a 1 month study redirecting admission streams from primary and emergency care, into a Cardiology Ambulatory Care Hub providing triage in Hot Clinic, and access to a Multi-Modal Testing Platform.

Results: 98 patients were referred to the Ambulatory Care Hub, 91 of which avoided admission. 52 patients received care in the cardiology hub, 38 of which required further testing.

Conclusion: We successfully streamlined various service streams, reducing admissions, and improving patient outcomes. Outpatient CTCA, ambulatory ECG, and echocardiography proved instrumental. We project a cost saving of £53,379 per month in bed days (£640,556 annual saving).

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来源期刊

Acute Medicine Medicine-Emergency Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： These are usually commissioned by the editorial team in accordance with a cycle running over several years. Authors wishing to submit a review relevant to Acute Medicine are advised to contact the editor before writing this. Unsolicited review articles received for consideration may be included if the subject matter is considered of interest to the readership, provided the topic has not already been covered in a recent edition. Review articles are usually 3000-5000 words and may include tables, pictures and other figures as required for the text. Include 3 or 4 ‘key points’ summarising the main teaching messages.