Day hospital versus inpatient management of uncomplicated vaso-occlusive crises in children with sickle cell disease
Day hospital versus inpatient management of uncomplicated vaso-occlusive crises in children with sickle cell disease
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DOI：
10.1002/pbc.21537
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发表时间：
2008-09-01
影响因子：
3.2
通讯作者：
Mueller, Brigitta U.
中科院分区：
文献类型：
--
作者：
Raphael, Jean L.;Kamdar, Aditi;Mueller, Brigitta U.
背景日间医院（DH）管理的镰状细胞病（SCD）患者经历简单的血管闭塞性疼痛危机已被用作替代护理提供系统住院。本研究的目的是确定是否DH管理的结果在较短的住院时间相比，住院治疗。Procedure.我们进行了一项回顾性队列研究，其中35例DH入院和35例住院的SCD儿童表现为无并发症的血管闭塞性危象（VOC）。DH入院定义为至少连续两天作为门诊患者进行积极的疼痛管理，包括静脉补液和镇痛药，并在夜间口服镇痛药和抗炎药进行家庭治疗。我们收集了有关人口统计学、疼痛评分、住院时间、住院费用和持续护理需求的数据。结果与住院患者相比，DH护理导致平均住院时间减少39%。多元线性回归分析显示，患者的VOCs护理地点是住院时间的显著预测因素（P
Background. Day hospital (DH) management for patients with sickle cell disease (SCD) experiencing uncomplicated vaso-occlusive pain crises has been utilized as an alternative care delivery system to inpatient hospitalization. The objective of this study was to determine whether DH management results in shorter length of stay compared to inpatient care. Procedure. We conducted a retrospective cohort study with 35 DH admissions and 35 inpatient admissions for children with SCD presenting with uncomplicated vaso-occlusive crises (VOCs). A DH admission was defined as a minimum of two consecutive days of aggressive pain management as an outpatient, including intravenous hydration and analgesics, supported by home treatment over night with oral analgesic and anti-inflammatory agents. We gathered data on demographics, pain scores, length of stay, admission charges, and needs for persistent care. Results. DH care resulted in a 39% reduction of the average length of stay compared to inpatient admissions. Multivariate linear regression demonstrated that the location of patient care for VOCs was a significant predictor of length of stay (P