当患者在前往急诊室之前先去看“谷歌医生”
When Patients Go to "Dr. Google" Before They Go to the Emergency Department
AI总结：
本研究通过12个月急诊观察与患者调查，分析就诊前网络健康搜索对检查、用药、入院和离院等诊疗决策的影响。
摘要：
约三分之一的成年人在前往急诊室（ED）前会在互联网上搜索健康信息，其中75%会遇到不准确内容。本研究考察此类搜索如何影响患者诊疗。我们对12个月期间的急诊就诊开展了一项观察性研究，在576名患者中调查了214人就诊前的互联网使用情况。研究提取了人口统计学特征、合并症、病情急缓、医嘱检查、处方和处置安排方面的数据。进行搜索的患者通常更年轻、更健康且受教育程度更高。大多数人使用通用搜索引擎询问与症状相关的问题。与未搜索者相比，他们接受实验室检查（RR 0.78，p=0.053）、影像学检查（RR 0.75，p=0.094）、药物治疗（RR 0.67，p=0.038）或入院（RR 0.68，p=0.175）的可能性较低。他们违背医嘱离开（RR 1.67，p=0.067）以及接受阿片类药物（RR 1.56，p=0.151）的可能性较高。研究结果表明，不准确的健康信息可能导致期望错配和诊疗服务发生改变。
英文摘要：
Approximately one-third of adults search the internet for health information before visiting an emergency department (ED), with 75% encountering inaccurate content. This study examines how such searches influence patient care. We conducted an observational study of ED visits over a 12-month period, surveying 214 of 576 patients about pre-ED internet use. Data on demographics, comorbidities, acuity, orders, prescriptions, and dispositions were extracted. Patients who searched were typically younger, healthier, and more educated. Most used a general search engine to ask symptom-related questions. Compared to non-searchers, they were less likely to receive lab tests (RR 0.78, p=0.053), imaging (RR 0.75, p=0.094), medications (RR 0.67, p=0.038), or admission (RR 0.68, p=0.175). They were more likely to leave against medical advice (RR 1.67, p=0.067) and receive opioids (RR 1.56, p=0.151). Findings suggest inaccurate health information may contribute to mismatched expectations and altered care delivery.
机构、总结、中文摘要均由AI分析而来，可能存在错误，请以论文正文为准。
