在香港的Omicron激增期间评估患者登机:时间序列分析
Qihao Wu1, Sunny Ching-Long Chan2, Teddy Tai-Loy Lee2
1Department of Industrial and Manufacturing Systems Engineering, The University of Hong Kong, Hong Kong, China.
Journal of medical systems
|July 18, 2023
概括
在香港的第五次COVID-19浪潮期间,急救部门的住院住院与老人院的入院和病房占用率有关,而不仅仅是病例数. 建议制定策略来管理占用率和简化老年患者的护理.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 香港的第五次COVID-19浪潮 (2022年1月至3月) 创下了创纪录的病例和死亡人数,导致急救部门 (ED) 的严重住院.
- 了解导致入院的因素对于管理医疗保健系统在激增期间的压力至关重要.
研究的目的:
- 在香港的Omicron激增期间,确定与急诊室入院相关的关键因素.
- 分析患者入院,病例数和病房占用率对患者入院的影响.
主要方法:
- 一项回顾性队列研究分析了2022年1月1日至3月31日的所有急诊室访问和住院患者入院情况.
- 使用矢量自回归 (VAR) 模型来评估各种因素对入院变量的统计意义和滞后效应.
主要成果:
- 来自养老院的入院人数延迟6天显著延长了入院等待时间 (t-stat=2.827,P<.05).
- 有4天延迟的医疗患者显著增加了登机患者的数量 (t-stat=2.530,P<.05).
- 医疗病房占用率持续且积极地影响了被封锁的患者数量,在第二天达到峰值 (0.309),并影响了等待时间.
结论:
- 医疗病房占用率,而不仅仅是COVID-19确诊病例的数量,是与患者登机相关的关键因素.
- 建议包括增加医疗病房容量,控制占用率,并简化ED中老年患者的护理,以减轻医疗保健系统的压力.
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