医院前重症监护的调度:一个范围审查 (阶段)
Peter Owen1,2,3, Kim Kirby4,5, Julian Hannah6
1University of West of England, Bristol, United Kingdom. peter2.owen@live.uwe.ac.uk.
概括
优化医院前重症监护 (PHCC) 调度需要更好的标准和技术集成. 目前的方法显示变化,突出需要前性研究,以改善患者的治疗结果和资源配置.
科学领域:
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医院前重症监护 (PHCC) 调度对于为重症患者或受伤患者分配专业资源至关重要.
- 关于优化PHCC调度的现有证据需要审查,以确定研究缺口和未来的优先事项.
研究的目的:
- 对优化医院前重症护理派遣现有证据进行范围审查.
- 确定研究缺口,并提出未来调查的优先事项.
主要方法:
- 在CINAHL,PubMed,EMBASE和CENTRAL数据库中进行系统搜索 (2004年1月 - 2024年10月).
- 包括所有研究类型,重点关注全球PHCC资产调度.
主要成果:
- 包括39项研究,展示了不同的设计,设置和重点 (例如,创伤与医疗).
- 结果评估了发送因素,生理和时间变量,使用先进干预和生存指标.
- 直升机紧急医疗服务 (HEMS) 和基于医生的HEMS (P-HEMS) 经常被研究,其调度标准的预测准确性不一致,特别是在老年创伤患者中.
结论:
- 在PHCC的调度模型,人员配置和结果指标中存在变化.
- 临床医生的参与可以提高调度的准确性,但认知工具的作用需要进一步研究.
- 未来的研究应该专注于前性研究,解决伦理/后勤挑战,扩大低收入和中等收入国家的研究,并验证新技术,如自动化事故通知.
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