对紧急医疗服务的心房的负担:基于人口的队列研究
Jocasta Ball1, Emily Mahony2, Emily Nehme3
1School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, Victoria 3000, Australia; Baker Heart and Diabetes Institute, 75 Commercial Rd, Melbourne, Victoria 3000, Australia; Ambulance Victoria, 31 Joseph St, Blackburn North, Victoria 3130, Australia; Department of Cardiology, Alfred Hospital, 55 Commercial Rd, Melbourne, Victoria 3000, Australia; Monash Alfred Baker Centre for Cardiovascular Research, 55 Commercial Rd, Melbourne, Victoria 3000, Australia.
International journal of cardiology
|July 31, 2024
概括
紧急医疗服务 (EMS) 经常用于心房动 (AF) 患者,这些患者往往具有高风险因素和不良结果. 需要进一步的研究,以减少AF的医疗负担.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 前庭动 (AF) 是医疗保健系统面临的重大和日益增长的挑战.
- 虽然AF管理得到了改进,但它对紧急医疗服务 (EMS) 的影响仍未得到充分研究.
- 了解AF对EMS的负担对于资源分配和患者护理至关重要.
研究的目的:
- 为了确定EMS参加者中AF的患病率.
- 为了表现出患有AF到EMS的患者的特征.
- 分析这些患者的结果,包括住院治疗,重新治疗和死亡率.
主要方法:
- 从2015年1月到2019年6月,澳大利亚维多利亚州的一项基于人口的研究.
- 包括连续的EMS出勤的AF,与医院和死亡记录相关.
- 对患者人口统计,风险因素,护理人员治疗,住院处置和生存数据的分析.
主要成果:
- 包括超过260万名EMS出席,其中有16525名AF的首次出席.
- 平均年龄为76岁;78%的人患有高血栓栓塞风险 (CHA2DS2-VASc ≥2);72%的人心率≥100 bpm.
- 42%的人没有接受过护理治疗;99.4%的人被送往医院;53%的人从ED退院. 24%的人在研究期间死亡,12%的人在30天内死亡.
结论:
- 对于AF的EMS利用是常见的,并且与显著的患者发病率和死亡率有关.
- 经常重新参加AF强调了急性和长期管理中的潜在差距.
- 需要新的护理途径来减轻AF对医疗保健系统的巨大负担.
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