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对于EMS远程医疗干预的运输费率和医院前间隔
Renoj Varughese1,2, Mitchell Cater-Cyker2, Rupa Sabbineni3
1Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.
Prehospital emergency care
|October 6, 2023
概括
紧急医疗服务 (EMS) 远程医疗减少了67%的患者的医院运输,特别是那些有呼吸问题的人. 这一策略还减少了每次通话的中位数为4分钟的医院前时间.
科学领域:
- 紧急医疗 紧急医疗
- 远程医疗服务是远程医疗服务.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 紧急医疗服务 (EMS) 远程医疗被提议减少911呼叫者的医院运输.
- 关键的不确定性包括确定适合现场治疗的患者状况,以及远程医疗对医院前时间间隔的影响.
研究的目的:
- 评估EMS临床医生的印象与运输规避之间的关联.
- 确定远程医疗接触对医院前时间间隔的影响.
主要方法:
- 两家商业机构的EMS记录的回顾性审查.
- 匹配对分析比较远程医疗接触与非远程医疗病例.
- 将临床医生的印象映射到国际初级保健分类,第二版 (ICPC-2).
主要成果:
- 在463个医院前远程医疗评估中,有67%的人避免了医院运输.
- 呼吸道疾病最有可能在现场得到治疗 (p=0.018).
- 没有运输的远程医疗减少了与匹配对相比的医院前间隔平均为16分钟;与运输的远程医疗增加了27分钟的间隔.
结论:
- 医院前远程医疗有效地减少了医院的运输,特别是在呼吸系统疾病中.
- 远程医疗接触与每次通话的医院前间隔中位数减少4分钟有关.
- 需要进一步研究医院前远程医疗对患者的长期结果.
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