德国COVID-19大流行对家庭机械通风的影响:一项描述性观察研究
Sarah Bettina Stanzel1,2, Maximilian Wollsching-Strobel3,4, Daniel Sebastian Majorski3,4
1Lung Clinic Merheim, Kliniken der Stadt Köln gGmbH, Cologne, Germany, schwarzsa@kliniken-koeln.de.
随着COVID-19大流行,家庭机械通风 (HMV) 的入院和控制访问显著减少,这表明HMV患者的医疗保健结构发生了重大转变. 这种下降持续,影响了侵入性和非侵入性通风服务.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 在过去的十年中,家庭机械通风 (HMV) 的使用量有所增加.
- 增加的HMV需求使专业中心和医疗保健专业人员紧张.
- COVID-19大流行加剧了HMV现有的医疗保健系统挑战.
研究的目的:
- 在COVID-19大流行之前和期间分析HMV利用趋势.
- 评估大流行对HMV启动和后续访问的影响.
- 了解HMV的地理分布和通风状态的变化.
主要方法:
- 使用操作和程序分类代码进行描述性观察研究.
- 分析德国联邦统计局2008年至2022年的数据.
- 对地理分布和通风状态进行检查的数据.
主要成果:
- 总共分析了737,770个HMV数据集.
- 从2008年到2019年,HMV启动和控制每年都在增加.
- 随着大流行 (2020年),入院人数下降了28%,对侵袭性和非侵袭性通风的随访人数大幅下降.
结论:
- 疫情导致HMV住院病人的数量大幅下降,在第一年最严重.
- 对HMV患者的对照访问没有恢复到大流行前的水平.
- 这表明HMV的医疗保健格局正在经历持久的转变.
更多相关视频
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
09:03Nasal Brushing Sampling and Processing Using Digital High Speed Ciliary Videomicroscopy – Adaptation for the COVID-19 Pandemic
Published on: November 7, 2020
相关概念视频
Mechanical Ventilation II: Invasive Ventilation
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Mechanical Ventilation I: Indication and Settings
Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive Positive-Pressure Ventilation...
Factors Affecting Pulmonary Ventilation
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
Ventilatory Modes
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
