在COVID-19大流行期间,医院后入院因素对医院外心脏骤停结果的影响
Yasuyuki Kawai1, Koji Yamamoto, Keita Miyazaki
1All authors: Department of Emergency and Critical Care Medicine, Nara Medical University, Nara, Japan.
Critical care explorations
|September 10, 2024
概括
在COVID-19大流行期间,医院入院后的因素显著加剧了医院外心脏骤停的结果. 在疫情爆发期间改善医疗保健系统的反应对于更好的患者预后至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 医院后到达因素对医院外心脏骤停 (OHCA) 结果的影响尚不清楚.
- 随着COVID-19的流行,紧急医疗服务和医院护理面临着独特的挑战.
研究的目的:
- 评估COVID-19大流行期间医院后到达因素对OHCA结果的影响.
- 评估OHCA疫情前和疫情期间预测结果的预测模型的性能.
主要方法:
- 一项队列研究利用了来自全日本Utstein注册表 (2015-2021) 的数据.
- 包括541,781名心脏起源OHCA的成年患者.
- 使用经过验证的预测模型,比较预测与实际的神经学结果.
主要成果:
- 预测模型准确地反映了2019年的结果 (AUC=0.96).
- 在2020年和2021年,预测和实际结果之间发生了显著的分歧.
- OHCA结果的恶化与大流行期间医院入院前后的因素有关.
结论:
- 在疫情期间,在OHCA预后中,医院后到达因素与医院前因素一样重要.
- 在传染病爆发期间,需要加强医疗保健系统的响应,以改善患者的治疗结果.
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