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目的:探讨急诊内科患者再入院原因及潜在危险因素,并提出有效管理建议。方法:将医院急诊内科2014年6月~2016年5月收治患者的临床资料数据导入数据库中,对再入院患者组和未再入院患者组进行比较,并行危险因素的多元回归分析。结果:其中2014年6月~2015年5月再入院率为13.37%,2015年6月~2016年5月再入院率为14.12%。再入院的病因主要为肺部感染、脑卒中复发和COPD,占比分别为32.43%、31.71%和17.25%。再入院的潜在危险因素包括是否曾入住ICU、上次住院天数、贫血发生、低蛋白血症、COPD和家属疾病知识掌握程度。结论:急诊内科患者再入院原因为肺部感染、脑卒中复发和COPD。根据危险因素提出有效建议,以期降低再入院率。
OBJECTIVE: To investigate the causes of rehospitalization and potential risk factors in emergency medical patients and to put forward effective management suggestions. Methods: The data of clinical data of hospital emergency medical department from June 2014 to May 2016 were imported into the database, and the multiple regression analysis of risk factors were compared with those in the group of rehospitalization and non-rehospitalization. Results: Among them, the readmission rate was 13.37% from June 2014 to May 2015, and the readmission rate was 14.12% from June 2015 to May 2016. Reasons for hospital admission were mainly pulmonary infection, recurrent stroke and COPD, accounting for 32.43%, 31.71% and 17.25% respectively. Potential risk factors for readmission include prior ICU admission, last hospital stay, anemia, hypoproteinemia, knowledge of COPD and family illness. Conclusions: Rehospitalization of emergency medical patients is due to pulmonary infection, recurrent stroke and COPD. Based on risk factors to make effective recommendations, with a view to reducing re-admission rates.