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紧急医疗团队实践中的ICD-10分类:新的见解
Krzysztof M Mitura1, Jadwiga Snarska2, Daniel Celiński3
1Independent Public Health Care Center RM-MEDITRANS Emergency Station and Sanitary Transport in Siedlce, Siedlce, Poland.
紧急医疗队 (EMT) 最常响应症状,伤害和循环系统疾病. 这项对116,000多项干预的分析强调了ICD-10代码在紧急护理中的实际应用.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 紧急医疗系统 (EMS) 对于应对急性健康威胁至关重要.
- 紧急医疗队 (EMT) 使用国际疾病分类 (ICD-10) 进行诊断.
- 了解EMT干预的主要原因对于资源分配和服务改进至关重要.
研究的目的:
- 分析紧急医疗团队干预的原因.
- 根据ICD-10诊断组对这些原因进行分类.
- 确定影响干预类型的人口和地理因素.
主要方法:
- 在波兰中东部 (2017-2019) 进行116,278次EMT干预的回顾性分析.
- 数据使用ICD-10代码进行分类.
- 统计分析以确定基于干预区域,患者性别,年龄和结果的显著差异.
主要成果:
- 在EMT干预中,最常见的ICD-10诊断组是:R00-R99 (症状,迹象和异常发现) 39.11%,S00-T98 (受伤,中毒和外部原因) 18.23%,I00-I99 (循环系统疾病) 15.57%.
- 在基于城市/农村位置,患者性别和年龄的诊断组中观察到统计学上显著的差异 (p < 0.0001).
- 完成EMT活动的方法也显示了关于ICD-10诊断组的显著差异.
结论:
- 该研究有效地确定了使用ICD-10编码的EMT呼叫的主要原因.
- ICD-10分类为EMT提供了诊断和记录健康问题的实际框架.
- 结果支持基于普遍情况的EMS内的有针对性的干预和资源规划.
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