危险性上消化道出血急诊快速救治通道效果的回顾分析

Retrospective Analysis of the Effect of Emergency Fast Track for Dangerous Upper Gastrointestinal Bleeding

目的:探讨危险性上消化道出血急救快速通道是否对此类疾病患者诊治产生积极影响。方法:回顾性病例分析2021年12月-2022年12月在我院就诊的危险性上消化道出血患者共66例,以我院成立危险性上消化道出血急诊快速救治通道的时间为界分为传统组和通道组,采集患者详细资料进行分析,比较其24小时内胃镜完成率;入院至胃镜完成时间;入院至止血时间;急诊停留时长;入院天数;入院总费用等关键指标及预后相关指标。结果:通道组患者24小时内胃镜完成率显著高于传统组(P<0.05),完成胃镜时间、急诊停留时长、入院至止血时间以及费用超过中位数比例显著低于传统组(P<0.05)。结论:危险性上消化道出血急救快速通道能显著提高诊疗效率并节省诊疗费用。

Objective:To explore whether the emergency fast track for dangerous Upper gastrointestinal bleeding has a positive impact on the diagnosis and treatment of such diseases.Methods:A total of 66 patients with dangerous upper gastrointestinal bleeding whovisited our hospital from December 2021to December 2022 were included in the retrospective case analysis.They were divided into traditional group and fasttrack groupbased on the time of the establishment of the emergency fast track for dangerous upper gastrointestinal bleeding.The detailed data of those patients were collected and analyzed.24-hour gastroscope completion rate,length of emergency stay and hospital stay,lengthfrom arriving to gastroscope completion and hemostasis,total admission cost and some prognosis indicators were compared between the two groups.Results:The 24-hour gastroscope completion rate in the channel group was significantly higher than that in the traditional group,while the length of emergency stay and hospital stay,the lengthfrom arriving to gastroscope completion and hemostasis,and the total admission cost were significantly lower than those in the traditional group.Conclusion:The emergency fast track for dangerous upper gastrointestinal bleeding can significantly improve the diagnosis and treatment efficiency and save the costs.