在移动紧急护理服务中接受治疗的用户死亡率的分析:一项观察性研究,Paraná,2019-2020年
Erika Fernanda Dos Santos Bezerra Ludwig1, Maria do Carmo Fernandez Lourenço Haddad1, Mariana Ângela Rossaneis Moreira1
1Universidade Estadual de Londrina, Programa de Pós-Graduação em Enfermagem, Londrina, PR, Brazil.
概括
2020年紧急护理的死亡风险增加,有先进的支持,在人口较少的地区. 长时间等待时间敏感的电话也与较高的死亡率相关.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 生物统计学 生物统计学
背景情况:
- 移动紧急护理服务 (MECS) 对于及时的医疗干预至关重要.
- 分析MECS结果对于改善巴拉纳州的医疗保健服务至关重要.
研究的目的:
- 分析帕拉纳州移动紧急护理服务的患者的死亡率.
- 确定与MECS护理中死亡率增加相关的因素.
主要方法:
- 使用2019-2020年的MECS服务报告进行横截面分析研究.
- 卡普兰-梅尔估计器和存活率分析的日志等级测试.
- 考克斯回归分析以确定死亡的危险比率 (HR).
主要成果:
- 分析了13,326例护理情况;记录了246例死亡.
- 与高级支持相关的死亡风险增加 (HR 21.51) 和2020年 (HR 2.09).
- 在B枢纽 (HR 4.26) 和延迟的时间敏感通话中观察到更高的死亡风险.
结论:
- 长时间等待时间敏感电话的病例中死亡率较高.
- 人口较少的地区和2020年的先进支持与较高的死亡率有关.
- 结果突出了改善MECS效率和患者治疗结果的领域.
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