急诊快速通道在急性上消化道出血急诊救治中的应用效果及对ICU住院率的影响研究

Objective To analyze the application effect of emergency fast track(EFT) in the emergency treatment of acute upper gastrointestinal bleeding(AUGIB) and its impact on the hospitalization rate of intensive care unit(ICU). Methods A total of 400 AUGIB patients admitted from January 2024 to December 2024 were retrospectively enrolled. The patients were divided into two groups based on the construction and use time of the emergency fast track. The control group(n = 129) received conventional emergency treatment, while the study group(n = 271) received EFT treatment. The treatment time, treatment status, and prognosis of the two groups were compared. Results The study group showed shorter time in all treatment-related indicators compared with the control group(P<0.05). The study group had shorter hemostasis and hospitalization time compared to the control group, and had a lower blood transfusion volume(P<0.05). The rebleeding rate, ICU hospitalization rate, and 28 day mortality rate in the study group were 5.54%, 8.12%, and 1.48%, respectively, which were lower than the control group's 17.83%, 21.71%, and 8.53%(P<0.05). Conclusion The application of EFT in emergency treatment of AUGIB can shorten the treatment time, reduce ICU hospitalization rate, 28 day mortality rate, decrease rebleeding, and shorten patient hospitalization time.