在当地宣布灾难后,紧急部门对儿科医院的访问的特征
Alexandra H Baker1, Joyce Li1, Katherine E Douglas1
1Division of Emergency Medicine, Department of Pediatrics, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA.
Annals of emergency medicine
|January 23, 2026
概括
在灾难发生后,儿童急诊室 (ED) 的访问总体上下降了,除了火灾外,火灾增加了,特别是呼吸系统问题. 了解这些特定于灾害的儿科医疗保健利用趋势对于准备至关重要.
科学领域:
- 公共卫生 公共卫生
- 灾难医学 灾难医学
- 儿科急救医学 儿科急救医学
背景情况:
- 有限的儿科数据存在于灾后的医疗保健利用情况,重点关注成人人口.
- 重大灾害声明对社区卫生基础设施和获得护理的机会产生重大影响.
研究的目的:
- 评估儿童急诊室 (ED) 容量,住院和诊断的变化,这些变化是联邦紧急事务管理局 (FEMA) 宣布重大灾害后的.
- 在不同类型的灾难中确定儿科医疗保健利用的具体趋势.
主要方法:
- 对18岁或更年轻的患者进行了回顾性观察分析.
- 2010-2023年期间从参与儿科健康信息系统的ED收集的数据.
- 在灾难发生后的四周内,对每周的急救访问,入院和诊断进行分析,按灾难类型分层 (严重的风暴/洪水,雪/冰风暴,火灾,龙卷风,地震).
主要成果:
- 总体而言,ED访问和入院显示大多数灾害类型的初始下降幅度适度,回归基线.
- 龙卷风与ED访问的持续减少有关;火灾与持续增加有关,特别是在呼吸道诊断方面.
- 在龙卷风,雪/冰暴和地震之后,入院人数下降,而在严重的风暴/洪水和火灾之后,入院人数保持稳定.
结论:
- 儿童ED使用率在灾后普遍下降,火灾后显著增加,主要是由于呼吸系统疾病.
- 减少表明获得和寻求护理的中断;与火灾相关的增加突出了特定的呼吸系统影响.
- 准备策略应考虑特定事件和特定诊断的儿科利用趋势,以确保运营连续性.
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