由于救护车繁忙而延迟响应是否会影响死亡风险和医院服务使用率? :对24万个医疗紧急情况的队列研究
Andreas Asheim1,2, Lars Eide Næss3,4,5, Andreas Krüger3,4,5
1From the Centre for Health Care Improvement, St. Olav's University Hospital, Trondheim, Norway.
Epidemiology (Cambridge, Mass.)
|September 25, 2025
概括
由于急救服务繁忙,救护车反应延迟并没有显著增加整体死亡风险. 然而,更长的等待时间与更高的医院费用有关,这表明患者发病率可能会增加.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 医疗服务研究 医疗服务研究
背景情况:
- 地面救护车的可用性对于及时应对紧急情况至关重要.
- 当资源被占用时,救护车调度的延迟可能会发生,这会影响患者的治疗结果.
- 这种延迟对整体死亡率和医院服务利用率的影响需要进一步研究.
研究的目的:
- 评估救护车响应时间延迟对患者死亡率的影响.
- 评估救护车反应延迟与随后的医院服务使用之间的关联.
- 确定救护车延误对医疗保健成本的财务影响.
主要方法:
- 在挪威中部 (2013-2022) 进行的一项基于人口的研究将紧急呼叫数据与医院记录联系起来.
- 自然实验设计比较了不同的救护车可用性患者的结果.
- 使用多变量调整来控制潜在的混因素和患者的严重程度.
主要成果:
- 救护车响应延迟5分钟与死亡风险增加0.10个百分点有关 (在统计学上不显著).
- 5分钟的延迟与住院风险增加1.24个百分点有关.
- 由于反应延迟,一年内医院治疗费用增加了616欧元.
结论:
- 延迟救护车响应并没有显示出整体死亡风险的大幅增加.
- 与延误相关的医院费用增加表明患者发病率可能会上升.
- 优化救护车资源配置对于管理医疗保健成本和患者福祉至关重要.
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