The Advance Of Emergency Medicine And Epidemiology Of Inpatient Over 10 Years On The First Aid Central Hospitalization

Objective: We sought to describe the advance of emergency medicine in china,andevaluatetheepidemiologicaldistributionofinpatientovertenyearsonfirstaidcentralhospital ization,aiming for providing evidence to improve hospital care quality.Methods: This study is a critical and descriptive review on current situations in emergency medicine in modern China,and this is a retrospective observational study,utilizing a massive first aid central database collected from electronic medical records.The database includes patients admitted to first aid central from Janurary1,2012 to December 31,2016.All statistical analyses were performed using Microsoft excel and SPSS version 19.0 software.Results:The current practice of emergency medicine in China encompasses three areas:pre-hospital medicine,emergency medicine and emergency critical care medicine.While Chinese emergency physicians receive specialty training through a number of pathways,national standards in training and certification have not yet been developed.As a research result,the scope of practice for emergency physicians and the quality of clinical care vary greatly between local individual hospitals.And in this study we found that Between the years 2007 and 2016,16367 patient admission to first aid central,and the survivors15686(95.8%),non-survivors681(4.2%).The admission rate,length of hospital stays(LOS)and care charge shows an upward trend,the multivariate analysis revealed that the Unit of admission(P<0.001,EXP = 1.741),unit of charge(P<0.001,EXP = 19.177),care charge(P<0.001,EXP = 2.446),admission time(P<0.001,EXP = 127.795)operation frequency(P = 0.001,EXP = 1.181),30-day Unplanned Readmission(P = 0.001,EXP= 2.256)and the cause of primary admission(P = 0.000,EXP =4.702)has regression relation ship with inpatient discharge outcome on first aid central(P value<0.05).Conclusion: To further strengthen the specialty advancement,more government leadership is needed to standardize emergency regional training curriculums,elucidatepractice guidelines.The discharge outcome on first aid central related with multiple factors including the gender,age,length of hospital stays,30-day Unplanned Readmission,unit of admission and discharge,care charge,operation frequency,Mode of arrived to emergency department.To improved the quality of care on the first aid central hospitalization interfere the preventive risk factors were to be optimal measurement.