关键词: Healthcare utilization Intensive care unit Language barriers Patient outcomes Patient-provider communication Professional language interpreter

Mesh : Humans Intensive Care Units Female Male Communication Barriers Middle Aged Translating Adult Language Aged Length of Stay / statistics & numerical data United States Cohort Studies Limited English Proficiency

来  源:   DOI:10.1016/j.pec.2024.108375

Abstract:
OBJECTIVE: To examine the healthcare utilization of patients with non-English language preference (NELP) who utilized a professional language interpreter (PLI) in the intensive care unit (ICU) compared to similar patients with NELP who did not utilize a PLI in the ICU.
METHODS: Single center cohort study of patients with NELP with at least one ICU admission a large academic medical center in the U.S. Midwest (1/1/2008-12/31/2022). The first model examined ICU length-of-stay (LOS) using a negative binomial and the second model examined whether a patient was readmitted to the ICU using a logistic regression with each model controlling for PLI utilization and covariates.
RESULTS: Patients with NELP who utilized a PLI in the ICU had 0.87-days longer in the ICU (p < 0.01) and had a 46 % decreased odds of being readmitted to the ICU (p < 0.01) than a comparable patient with NELP who did not utilize a PLI in the ICU.
CONCLUSIONS: Providing patients with NELP with access to a PLI in the ICU can improve patient outcomes and reduce language barriers.
CONCLUSIONS: These results can provide the justification to potentially increase PLI staffing levels or increase the access to existing PLIs for more patients with NELP in ICUs.
摘要:
目的:分析在重症监护病房(ICU)使用专业语言翻译(PLI)的非英语语言偏好(NELP)患者与在ICU未使用PLI的类似NELP患者的医疗保健利用情况。
方法:在美国中西部的大型学术医疗中心(1/1/2008-12/31/2022),对至少有一个ICU入住的NELP患者进行单中心队列研究。第一个模型使用负二项检查ICU住院时间(LOS),第二个模型使用逻辑回归检查患者是否再次进入ICU,每个模型均控制PLI利用率和协变量。
结果:在ICU中使用PLI的NELP患者在ICU中的时间延长了0.87天(p<0.01),与未在ICU中使用PLI的NELP患者相比,再次进入ICU的几率降低了46%(p<0.01)。
结论:在ICU中为NELP患者提供PLI可以改善患者预后并减少语言障碍。
结论:这些结果可以为可能增加PLI人员配备水平或增加ICU中更多NELP患者对现有PLI的访问提供理由。
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