大规模聚会和活动对急诊室入院的影响:一个系统的文献综述
Ali PoshtMashhadi1, Lincoln C Wood1, Abtin Ijadi Maghsoodi2
1Department of Business and Management, University of Otago, Dunedin, New Zealand.
The Journal of emergency medicine
|May 20, 2025
概括
大规模聚会可以减少或显著增加急诊室 (ED) 的访问,创伤和与物质有关的病例的峰值. 准备好应对事件后的激增对于医疗保健规划至关重要.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 大众聚会是重要的社会活动,有可能给当地医疗保健服务带来压力.
- 了解对紧急部门 (ED) 的影响对于准备和资源分配至关重要.
研究的目的:
- 系统地审查大规模集会对ED招生的影响.
- 在这些活动期间分析整体和特定类别的ED指标.
主要方法:
- 根据PRISMA指南进行了一次系统文献审查 (SLR).
- 搜索了数据库 (PubMed,EMBASE等) 的数据库. 从2012年到2024年,对大规模集会和ED演示的研究.
- 利用BERT NLP和手动选来有效地选择文章 (效率超过90%).
主要成果:
- 大规模聚会期间的ED访问显示了不同的趋势:一些活动的访问人数减少了7.5-37%,而其他活动,如宗教聚会 (Umrah),增加了高达83%.
- 在与物质相关的病例 (高达10%) 和创伤 (高达34%) 中观察到的具体增加,通常在事件发生后4-12小时达到顶峰.
- 音乐节与更多与物质相关的病例相关,而宗教聚会显示出更高的医疗和呼吸系统入院率.
结论:
- 大众聚会对ED的使用有不同的影响,从减少到显著增加的入院.
- 事件后的激增准备是必不可少的,特别是在创伤和与物质有关的情况下.
- 对于有效的干预,建议活动组织者和公共卫生机构之间的协调规划.
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