门禁和救护车拉坡之间的关联,以及COVID-19的影响:25个昆士兰州医院的回顾性观察队列研究
Hwan-Jin Yoon1, Justin Boyle2, Ibrahima Diouf1
1Australian e-Health Research Centre, CSIRO, Melbourne, Victoria, Australia.
The Medical journal of Australia
|February 10, 2026
概括
在COVID-19大流行期间和之后,救护车加速度和患者休息时间 (POST) 的表现显著下降. 访问封锁似乎导致救护车上坡路增加,需要改善医院容量管理.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 救护车升级,定义为患者摆脱伸展时间 (POST),是急诊室 (ED) 效率的关键指标.
- 2019年新冠肺炎 (COVID-19) 疫情对全球的医疗保健系统产生了重大影响,可能会影响患者流动和ED性能.
- 进入障碍,特点是患者从急救到住院病床的入院延迟,是已知的救护车升的贡献者.
研究的目的:
- 调查救护车上坡路的趋势及其与通道封锁的关系.
- 分析COVID-19大流行,特别是第一波疫情对这些紧急护理过程的影响.
- 探索不同分类类别的患者休息时间 (POST) 和访问封锁之间的关联.
主要方法:
- 一项回顾性观察性研究使用来自昆士兰州25家最大的公共医院的数据进行.
- 研究期间从2018年1月1日到2022年12月31日,涵盖了流行病前,流行病期间和流行病后.
- 探索性数据分析和统计建模被用于评估POST,救护车响应时间,访问封锁和ED停留时间之间的关联.
主要成果:
- 观察到POST业绩的显著下降,遵守率从COVID-19前的74%下降到COVID-19后的57%,低于90%的目标.
- 在研究期间,经历访问封锁的患者比例从10%增加到17%.
- 回归分析证实了POST和访问封锁,响应时间和POST,停留时间和ED停留时间之间的积极关系,在COVID-19期间和之后的趋势恶化.
结论:
- 实现POST目标越来越具有挑战性,这表明救护车性能下降.
- 门禁与救护车越来越多的车道密切相关,这表明这是延误的主要驱动因素.
- 减少救护车升的策略应优先考虑改善住院病人的床位和管理医院容量.
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