Can an Emergency Department Observation Unit Reduce Hospital Admissions for COPD Exacerbation?

被引：11

作者：

Budde, Julia ^{[1
]}

Agarwal, Parul ^{[2
]}

Mazumdar, Madhu ^{[3
]}

Yeo, Jonathan ^{[4
,5
]}

Braman, Sidney S. ^{[1
]}

机构：

[1] Icahn Sch Med Mt Sinai, Div Pulm Crit Care & Sleep Med, 1468 Madison Ave,Annenberg Bldg 5th Floor, New York, NY 10029 USA

[2] Icahn Sch Med Mt Sinai, Dept Populat Hlth Sci & Policy, Inst Hlth Care Delivery Sci, 1425 Madison Ave,Icahn Bldg,Floor L2, New York, NY 10029 USA

[3] Icahn Sch Med Mt Sinai, Dept Populat Hlth Sci & Policy, Inst Hlth Care Delivery Sci, 1425 Madison Ave,Second Floor, New York, NY 10029 USA

[4] Icahn Sch Med Mt Sinai, Dept Emergency Med, Div Hosp Med, New York, NY 10029 USA

[5] Icahn Sch Med Mt Sinai, One Gustave L Levy Pl,Box 1149, New York, NY 10029 USA

来源：

LUNG | 2018年 / 196卷 / 03期

关键词：

Observation unit; Clinical decision unit; Acute exacerbation of chronic obstructive pulmonary disease; Hospital admission; Emergency department; PAIN;

D O I：

10.1007/s00408-018-0102-1

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Studies on observation unit (OU) use to avoid a hospital admission from the emergency department (ED) have found variable effects on health care resource utilization, and these effects have not been studied in acute exacerbation of chronic obstruction pulmonary disease (AECOPD). We retrospectively collected data for all AECOPD-related ED visits (age > 40) to an urban, academic medical center between February 2013 and April 2017. We examined the total proportion of visits admitted to the hospital before and after availability of an OU and the proportion of visits discharged directly from the ED using segmented regression analysis. There was a 12.8% reduction in hospital admissions after OU availability (79.6 vs. 66.8%, p = 0.0049) without a change in the proportion discharged directly from the ED (p = 0.65). The availability of an OU can decrease hospital AECOPD admissions without affecting the number of patients discharged directly from the ED.

引用

页码：267 / 270

页数：4

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