COVID-19概念建模:单中心跨部门研究
Mawahib Abuauf1, Enaam Hassan Raboe2, Muneera Alshareef3
1Pediatric Department, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
JMIR formative research
|May 31, 2023
概括
一个概念模型确定了一个低风险的COVID-19患者群体,导致ICU入院率和死亡率较低. 医院政策保护医疗保健提供者免受COVID-19感染.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
- 卫生政策分析 卫生政策分析
背景情况:
- 概念模型对于完善医疗保健服务至关重要,并在COVID-19大流行期间对政策评估至关重要.
- 分析模型评估了流行病政策,心理社会因素和疫苗接种,指导了资源分配和服务恢复.
- 由于COVID-19的流行,需要快速开发和实施预测模型来管理健康危机.
研究的目的:
- 实施一种描述性-分析性概念模型,分析最初的流行病浪潮 (2020年3月至5月) 中的COVID-19入院情况.
- 确定影响死亡率和重症监护室 (ICU) 入院率的因素.
- 评估医院政策对医疗保健提供者的COVID-19阳性影响,并评估风险评估得分 (COVID-19视觉得分,CURB-65).
主要方法:
- 采用横截面研究设计,从医院数据库中检索数据.
- 对概念模型的分析遵循了国际药物经济学和结果研究协会以及医学决策协会的指导方针.
- 数据包括患者人口统计,并发症,CURB-65分数,以及ICU入院和死亡率等结果.
主要成果:
- 该研究包括275名COVID-19阳性个体,揭示了一般低风险人群 (平均年龄为42岁,19%≥60岁,80%CURB-65<4,53%没有并发症).
- 整体ICU入院率为5% (13/275) 和死亡率为1.5% (4/275).
- 高选择性方法使复杂病例被送往医院,而5%的医疗保健提供者检测呈阳性,没有来自查区域的,表明政策的有效性.
结论:
- 选择性地将高风险患者留在医院可能有助于观察到的低死亡率.
- 医院政策有效地保护医疗保健提供者免受COVID-19感染.
- 该概念模型提供了关于管理COVID-19入院的见解,以及在流行病期间保护医疗保健工作者.
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