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題 名 | Telephone Reminder Calls of Scheduled Clinics on Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease after Emergency Department Discharge=電話提醒門診預約對急診室慢性阻塞性肺病急性發作病人的影響 |
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作 者 | 曾嘉瑩; 曹琮琤; 黃獻皞; 顏鴻章; 王立敏; 黃俊一; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 18:1 2007.03[民96.03] |
頁 次 | 頁31-37 |
分類號 | 419.39 |
關鍵詞 | 慢性阻塞性肺病; 急診室; 電話提醒預約門診; Chronic obstructive pulmonary disease; Emergency department; Reminder phone call; |
語 文 | 英文(English) |
中文摘要 | 目的:要確定電話提醒預約門診是否可以減少急診室漫性阻塞性肺病病人因急性發作再回急診。方法:自2001 年3 月1 日至10 月31 日,收集年齡大於箏於55 歲因慢性阻塞性肺病急性發作至急診室的病人收入研究,分成二組。所有的病人在離開急診時會接受一週內之專科醫師約診。電話提醒預約門診介入組在離開急診室 48 小時內會接到電話追蹤及提醒專科預約門診時問。此計畫主要的預後是評估病人在2 個月內是否如期回診及急診室再回診率。 結果:總共收集了88 位病人(84 位男性及4 位女性),其中47 位為電話提醒預約門診介入組,41 位為對照組。年齡分布自56 歲至80 歲,平均年齡為66 . 8 士5 . 7 歲。兩組病人在年齡‧ 性別‧ 實驗室檢查上並無明顯統計學上的意義。電話提醒預約門診介入組在離開急診室後一個月內之急診室因急性發作再回診率降低(0 . 2 士0 . 5 vs . 0 . 4 士0 . 7 , P 一0 . 05 )及專科醫師門診追蹤次數增加(1 . 8 士1 . 0 vs . 1 . 2 士1 . 0 , P < 0 . 01 )。結論:電話提醒預約門診的介入似 |
英文摘要 | Object: The purpose of this study was to determine the effect of follow-up reminder phone calls for scheduled clinics on the patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) after an emergency department (ED) visit. Methods: Consecutive patients older than 55 years who presented at the ED from March through October 2001, with a chief complaint consistent with COPD with acute exacerbation were eligible for inclusion. All patients received a scheduled, timely follow-up by our specialist who visited after 7 days. The intervention group received a follow-up reminder phone call of their appointment to visit the specialist within 48 hours of ED release. The main outcome was to compare whether patients kept their appointment with their COPD specialist during the two months following ED treatment and readmission to the ED. ED visit and specialist visit logs for the two months following the ED visit were checked from the charts. Readmission to the ED was defined as any ED visit for acute exacerbation of COPD. Results: 88 patients (84 males and 4 females) who met the inclusion criteria were enrolled (47 in the intervention group and 41 in the control group). The age of the 88 patients ranged from 56 to 80 years, with a mean age of 66.8±5.7 years. The intervention group of follow-up reminder phone calls had a significantly lower number of ED visits (0.2±0.5 vs 0.4±0.7, p=0.05) and higher number of outpatient department visits (1.8±1.0 vs 1.2±1.0, p<0.01) in the first month, but not in the second month. Conclusions: Follow-up reminder phone calls seemly had some effect in the decrease of the ED readmission rate and increase specialist visits in the first month following an ED visit for acute COPD exacerbation. |
本系統中英文摘要資訊取自各篇刊載內容。