关键词: clinical care pathway emergency department healthcare utilization inflammatory bowel disease

来  源:   DOI:10.1093/crocol/otaa080   PDF(Pubmed)

Abstract:
UNASSIGNED: Standardizing care through pathways has the potential to reduce emergency department (ED) utilization. We developed and evaluated inflammatory bowel disease (IBD) care pathways for that purpose.
UNASSIGNED: Over 2014-2016, IBD patients were retrospectively stratified into those managed and not managed by pathways. Patient data were extracted, and negative binomial regression used to predict the annual number of ED visits.
UNASSIGNED: There was a difference of 30.7 ED visits/100 patients between managed and nonmanaged at 12 months (P < 0.001). The incidence rate ratio of total ED visits occurring annually was 0.750 (P = 0.008).
UNASSIGNED: Management with IBD care pathways reduces ED utilization.
摘要:
UNASSIGNED:通过途径标准化护理有可能降低急诊科(ED)的利用率。为此,我们开发并评估了炎症性肠病(IBD)护理途径。
UNASSIGNED:在2014-2016年,对IBD患者进行回顾性分层,分为通过途径管理和不通过途径管理的患者。提取患者数据,负二项回归用于预测每年的ED就诊次数。
UNASSIGNED:在12个月时,管理和非管理的患者之间有30.7例ED访视/100例的差异(P<0.001)。每年总急诊就诊的发生率为0.750(P=0.008)。
UNASSIGNED:IBD护理途径管理可降低ED利用率。
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