在经合组织国家 (OECD) 的COVID-19大流行期间 (2020-2021) 通过绩效指标评估急症护理途径:一个范围审查
Ana Sofia V Carvalho1,2, Bente Broekema3,4, Óscar Brito Fernandes3,5
1Amsterdam UMC Location University of Amsterdam, Public and Occupational Health, Meibergdreef 9, Amsterdam, the Netherlands. a.s.carvalho@amsterdamumc.nl.
随着COVID-19大流行,急性护理受到干扰,患者数量减少,治疗时间延长. 然而,在危机期间,整体外科护理在体积,严重程度和死亡率方面表现稳定.
科学领域:
- 医疗保健质量评估 医疗保健质量评估
- 公共卫生监督是对公共卫生的监督.
- 急性护理管理的管理.
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了非COVID患者护理.
- 经合组织国家在疫情期间缺乏针对急性护理监测的标准化绩效指标.
- 这项研究解决了疫情期间对急性护理质量数据的需求.
研究的目的:
- 在COVID-19大流行初期 (2020年至2021年7月) 确定和总结经合组织国家急性护理质量的绩效指标.
- 分析这些指标的趋势,以了解大流行对急性护理服务的影响.
- 评估急性护理途径的弹性,包括一般外科手术.
主要方法:
- 对Embase和MEDLINE数据库进行了全面的范围审查.
- 急性护理和急性整体外科的绩效指标被系统地收集并按护理途径分类.
- 同样的指标被分组,并分析了它们的趋势 (增加,减少,稳定).
主要成果:
- 152项研究产生了2354项一般急性护理和301项急性整体外科手术指标.
- 医院前服务的患者数量有所减少,但治疗时间有所增加,外科心脏骤停的存活率有所降低.
- 紧急病房入院减少,而住院死亡率增加;整体外科显示患者数量,严重程度和死亡率稳定.
结论:
- 随着COVID-19的流行,急性护理连续系统发生了重大干扰.
- 整体外科的指标表现出显著的稳定性,这表明这种特定途径的弹性.
- 定期,系统地评估护理途径对于监测中断和加强危机期间紧急服务的弹性至关重要.
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