医院紧急护理的集中化与院内死亡率的增加无关;一项基于人群的队列研究。

Q3 Medicine

Acute Medicine Pub Date : 2023-01-01 DOI:10.52964/AMJA.0928

Søren Bie Bogh, Jonathan Harbak, Marianne Fløjstrup, Lars Morsø, Mikkel Brabrand, Mickael Bech

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引用次数: 0

摘要

背景:我们描述了丹麦医院急诊服务集中前后的旅行距离、急诊服务的利用和住院死亡率的变化。方法:纳入2008年和2016年所有非精神病院计划外接触者(年龄≥18岁)。分析是年龄标准化的，并在直辖市一级进行。各市根据是否有紧急医院服务而分为若干组。结果:从2008年到2016年，关闭有急诊服务的医院的城市的旅行距离增加幅度最大。所有组的住院死亡率都有所下降。来自设有急救服务的医院已关闭的城市的急性心肌梗死接触者死亡率没有下降。结论:我们的数据并不表明医院关闭，从而增加了旅行距离，对急诊获得和院内死亡率的变化起到了显著的障碍作用。

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Centralization of emergency hospital care is not associated with increased in-hospital mortality; a population-based cohort study.

Background: We describe changes in the distance travelled, the utilization of emergency services, and the inhospital mortality before and after the centralization of hospital emergency services in Denmark.

Methods: All unplanned non-psychiatric hospital contacts from adults (aged ≥18 years) in 2008 and 2016 are included. Analyses are age-standardized and conducted at a municipality level. The municipalities are divided into groups according to the presence of emergency hospital services.

Results: Municipalities where hospitals with emergency services have been closed differed by having the most significant increase in distance travelled from 2008 to 2016. All groups experienced a reduction in overall in-hospital mortality. The reduction in mortality was not present for acute myocardial infarct contacts from municipalities where hospitals with emergency services have been closed.

Conclusion: Our data do not suggest that hospital closures, and thereby increased travel distance, have contributed significantly as a barrier to emergency-care access and changes to in-hospital mortality.

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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.