了解急诊科和紧急护理服务的糖尿病患者的家庭医学健康团队:回顾性观察研究

M. Ward
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引用次数: 1

摘要

目的了解某家庭医学健康小组(FHT)糖尿病患者急诊科和急诊(ED/UC)的使用频率、紧迫性和理由。方法2013年1月1日至2014年12月31日进行回顾性观察性研究,并与对照组进行比较。共有693名糖尿病患者与两组年龄标准化的非糖尿病患者进行了比较:一组根据国际疾病分类9的诊断具有较高的疾病负担,另一组来自随机患者池。糖尿病组使用ED/UC服务的频率是对照组的1.25倍和1.92倍,与其他研究结果一致。加拿大分诊和敏锐度量表对糖尿病人群的评分基本相同。只有3.1%的就诊是与糖尿病相关的紧急情况,而FHT接受调查的医生预期为23%。糖尿病患者寻求蜂窝织炎、伤口、脓肿和感染治疗的频率高于对照组。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding the use of emergency department and urgent care services by diabetic patients of a Family Medicine Health Team: a retrospective observational study
Aim To understand the frequency, urgency, and rationale of emergency department and urgent care (ED/UC) use by diabetic patients of a Family Medicine Health Team (FHT). Methods A retrospective, observational study with comparison control groups was conducted from 1 January 2013 to 31 December 2014. A total of 693 diabetic patients were compared with two, age-standardized non-diabetic groups: one with a higher disease burden based on International Classification of Diseases 9 diagnoses and the other from a randomized patient pool. Findings The diabetic group utilized ED/UC services 1.25 and 1.92 times more often than the two control populations, consistent with that observed in other studies. Canadian Triage and Acuity Scale scores were essentially the same for the diabetic population. Only 3.1% of visits were for diabetic related emergencies, in contrast to the expected 23% by surveyed physicians of the FHT. Diabetic patient’s sought treatment for cellulitis, wounds, abscesses, and infections more often than the control populations.
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