【摘要】：目的·了解老齡化對(duì)急診人群健康狀況、病種、就診壓力和急診滯留時(shí)間(EDLOS)的影響。方法·回顧性分析上海市某三級(jí)甲等醫(yī)院2014—2016年所有急診滯留患者信息,包括患者性別、年齡、就診時(shí)間、診斷、EDLOS、轉(zhuǎn)歸、是否合并慢性疾病、感染或腫瘤等,分析影響EDLOS的危險(xiǎn)因素。結(jié)果·納入15 429例急診患者,老年人(≥65歲)占總數(shù)54.96%。老年患者的EDLOS顯著長(zhǎng)于65歲患者(P=0.000);老年急診合并年齡相關(guān)性慢性疾病的發(fā)生率(67%)明顯高于65歲患者(52%)。合并腫瘤或感染是影響EDLOS的獨(dú)立因素(P=0.000)。老年患者中,急性起病、需明確診斷者占14%。結(jié)論·老年急診患者比例增加是急診就診壓力升高的主要原因。老年急診常涉及多樣化的慢性疾病及并發(fā)癥,延長(zhǎng)EDLOS,占用急救資源。呼吁發(fā)展老年學(xué)科,給予老年患者多臟器慢性病整合治療、慢病急發(fā)和病情進(jìn)展對(duì)癥治療等多梯度的家庭—住院—急診治療模式。
[Abstract]:Objective to investigate the effects of aging on health status, disease type, visiting pressure and (EDLOS) of emergency population. Methods A retrospective analysis was made on the information of all emergency patients in a Grade 3A hospital in Shanghai from 2014 to 2016, including patient sex, age, time of visit, diagnosis, outcome of EDLOS, chronic disease, infection or tumor, etc. The risk factors affecting EDLOS were analyzed. Results among 15 429 emergency patients, the elderly (鈮，

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