急诊科姑息治疗患者的一般特征

A. Yilmaz, H. I. Çikriklar, V. Durak, B. Kurtoğlu, S. Atmaca, S. Eraybar, Feyzullah Faruk Seçki̇n, H. Çelebi̇, E. Armağan
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摘要

本研究旨在分析申请急诊服务和需要姑息治疗的患者在适当的患者护理和有效利用卫生机构方面的情况。材料与方法前瞻性研究于2021年8月15日至2022年2月15日期间申请Bursa Uludag大学健康应用与研究中心、健康科学大学Bursa y ksek Ihtisas培训与研究医院和Bursa City医院急诊服务并需要姑息治疗的患者。结果共纳入261例患者,其中男性143例(54.8%),女性118例(45.2%)。这些患者中有50人(19.1%)曾接受过姑息治疗服务。纳入研究的患者在过去一年中使用急救服务的次数为7.52±6.77次。急诊科住院患者诊断出的三种最常见疾病分别是肺炎(24.5%)、泌尿系统感染(7.7%)和脑血管疾病(5.4%)。39.84%的患者转诊/住院,25.28%的患者转诊/住院至重症监护病房,2.68%的患者拒绝治疗,2.68%的患者死亡,29.5%的患者已出院。结论据了解,大部分需要姑息治疗的患者并没有得到这项服务,可以在姑息治疗单位治疗的患者都在诊所和重症监护病房接受治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
General Characteristics of Palliative Care Patients Admitted to the Emergency Department
Background This study aimed to analyze patients who apply to emergency services and need palliative care regarding appropriate patient care and effective use of health institutions. Materials and Methods The study was conducted prospectively on patients who applied to the emergency services of Bursa Uludag University Health Application and Research Center, Health Sciences University Bursa Yüksek Ihtisas Training and Research Hospital and Bursa City Hospital between 15.08.2021 and 15.02.2022 and needed palliative care. Results A total of 261 patients, 143 male (54.8%) and 118 female (45.2%), were included in the study. It was determined that 50 (19.1%) of these patients had previously received palliative care services. It was determined that the patients included in the study applied to the emergency services 7.52±6.77 times in the last year. The three most common diseases diagnosed in patients admitted to the emergency department were pneumonia (24.5%), urinary system infection (7.7%), and cerebrovascular disease (5.4%). Of the patients, 39.84% were referred/hospitalized, 25.28% were referred/hospitalized to intensive care units, 2.68% refused treatment, 2.68% died, and 29.5% have been discharged. Conclusion As a result, it is understood that most of the patients in need of palliative care do not receive this service, and patients who can be treated in palliative care units are treated in clinics and intensive care units.
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