前医院COVID-19患者在现场出院 - 一项观察性研究
Kari Heinonen1,2, Markku Kuisma3, Heli Salmi4
1Department of Emergency Medicine & Services, Helsinki University Hospital and the University of Helsinki, P.O. Box 347, 00029 HUS, Helsinki, Finland. kari.heinonen@hus.fi.
最初由紧急医疗服务 (EMS) 释放的COVID-19患者更有可能需要随后的EMS呼叫和救护车运输. 这表明,仔细的医院前评估对于有效管理COVID-19患者至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 在大流行期间,紧急医疗服务 (EMS) 是许多COVID-19患者的主要联系点.
- 关于患者运输的医院前决策对随后的医疗保健利用有重大影响.
研究的目的:
- 调查COVID-19患者的非转移决定与随后的EMS呼叫之间的关联.
- 为了比较最初运送的患者与现场出院的患者的新EMS呼叫率.
主要方法:
- 包括确诊的COVID-19患者,在症状出现后的14天内接受EMS电话.
- 基于医院前运输决定 (运输与非运输) 的患者进行了比较.
- 主要终点:在10天内新的EMS呼叫导致救护车运输.
主要成果:
- 在1286名患者中,45.6%的患者在现场出院.
- 一个新的EMS调用导致运输发生在10.3%的案例中.
- 与最初运送的患者 (30.1%) 相比,在现场出院的患者随后的急救电话率 (69.9%) 显着更高.
结论:
- 近一半的医院前COVID-19患者在现场安全出院.
- 大约16%的现场出院的患者需要在10天内进行随后的EMS运输.
- 在第一波疫情期间,EMS有效地调整了业绩,以防止急诊室过度拥挤.
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