评估急诊科对轻度颅脑损伤的出院书面说明。

IF 2.2 3区 医学 Q3 CRITICAL CARE MEDICINE
Hang A Park , Ki Ok Ahn , Ji Na Yang , Ju Ok Park
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引用次数: 0

摘要

研究目的:本研究旨在评估急诊科(ED)出院的轻度创伤性脑损伤(mTBI)患者书面出院说明书信息的完整性和质量。方法:收集韩国学术急诊科于2023年5月提供给mTBI患者的出院书面说明副本。我们根据国家健康和临床卓越研究所的指南评估了内容的完整性,该指南将出院说明分为四部分:一般建议、紧急情况、常见的脑震荡后症状和体征以及康复建议,每个项目都有一分。信息质量使用DISCERN进行评估,这是一份经过验证的16项问卷,评估可靠性(8个问题)、信息质量(7个问题)和整体质量(1个问题),采用5分李克特量表。以急诊科级别和年度急诊科访问量作为医院资源指标,分析出院信息的完整性和质量。结果:从联系的55名急诊科患者中收集到22份(44%)书面出院说明,平均(标准差)内容完整性得分为10.1(2.7)分(满分为30分)。每个部分的平均得分如下:一般建议,0.1(0.23)(满分2分);紧急情况,6.0分(1.39分);常见的脑震荡后症状和体征,0.8分(0.9分);康复建议,3.2分(1.9分)。在信息质量方面,信度均值为3.5分(0.3分),信息质量均值为1.8分(0.7分),评分范围从1分(非常差)到5分(优秀)。急诊特征的内容完备性和信息质量总得分在不同ED水平间存在显著差异(p = 0.04和p = 0.01)。然而,年度ED就诊次数没有显著差异。结论:韩国急诊科mTBI患者书面出院说明的完整性和质量较低,且各医院差异较大,这可能与医院资源有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Written discharge instruction evaluation for mild traumatic brain injury from emergency departments Evaluating written discharge instructions from emergency departments for mild traumatic brain injury

Aim of study

This study aimed to evaluate the completeness and quality of information in written discharge instructions for patients with mild traumatic brain injury (mTBI) discharged from the emergency department (ED).

Methods

Copies of written discharge instructions provided to patients with mTBI from academic EDs in South Korea were collected in May 2023. We assessed the completeness of the content based on the National Institute for Health and Clinical Excellence guidelines, which categorize discharge instructions into four parts: general advice, emergencies, common post-concussion symptoms and signs, and advice for recovery, with one point for each item. The quality of information was evaluated using DISCERN, a validated 16-item questionnaire assessing reliability (eight questions), quality of information (seven questions), and overall quality (one question) on a 5-point Likert scale. Completeness and quality of discharge information were analyzed by ED level and annual ED visits as proxies for hospital resources.

Results

Twenty-two (44%) written discharge instructions were collected from the 55 EDs contacted, with a mean (standard deviation) content completeness score of 10.1 (2.7) out of a maximum of 30. The mean scores for each section were as follows: general advice, 0.1 (0.23) out of 2; emergencies, 6.0 (1.39) out of 10; common post-concussion symptoms and signs, 0.4 (0.9) out of 8; and advice for recovery, 3.2 (1.9) out of 10. Regarding the quality of information, the mean reliability score was 3.5 (0.3), and the mean information quality score was 1.8 (0.7), with both assessed on a scale from 1 ("very poor") to 5 ("excellent"). Significant differences were found in content completeness for emergency features and in the general scores for quality of information between different ED levels (p = 0.04 and p = 0.01, respectively). However, no significant differences were observed by the number of annual ED visits.

Conclusion

The completeness and quality of written discharge instructions for mTBI patients in South Korean EDs were low and varied across hospitals, suggesting a potential association to hospital resources.
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来源期刊
CiteScore
4.00
自引率
8.00%
发文量
699
审稿时长
96 days
期刊介绍: Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.
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