Takahashi Akira, Ishii Noboru, Kawashima Takahisa, Nakao Hiroyuki
Department of Emergency and Disaster Medicine, Kobe University Graduate School of Medicine.
Kobe J Med Sci. 2007;53(5):189-98.
INTRODUCTION For the assessment on medical response capacity for disaster in local area (such as rescue capacity, transport capacity and treatment capacity), it is necessary to assess it in peace time, and understand how many sufferers from disaster the hospital can respond to. Here the estimated formula of Hospital Treatment Capacity (hereinafter shortened to HTC), the maximum receivable number of patients in hospital (hereinafter shortened to MRN) was showed, which derived from the assessment on emergency medical response in Kobe University Hospital as an example. MATERIALS AND METHODS We treated a total of 12,032 patients transferred and admitted to Kobe University Hospital from April 2003 to January 2005. We calculated the required number of medical personnel, equipment and length of treatment time in order to respond to 410 severe traumas, 35 burn injuries, and 28 patients with blood purification, which were considered to be main clinical conditions in disaster. Beside, the occupation of emergency room and the operation room per hour were also investigated in our hospital. RESULTS HTC (MRN) for each clinical condition within H hours is expressed by following formula: (1) HTC (MRN) for burn injuries = The maximum integer of (< or =Doctors/2 intersection< or =Respirators/1 intersection< or =outpatient beds/1 intersection<or =inpatient beds/1 intersection< or =monitors/1) x the minimum integer of (> or =H/1.85) (2) HTC (MRN) for patients with blood purification = The maximum integer of (< or =doctors/2 intersection< or = blood purification systems/1 intersection< or = outpatient beds/1 intersection < or =inpatient beds/1 intersection< or =monitors/1) x the minimum integer of (> or =H/2.00) (3) HTC (MRN) for severe traumas =The maximum integer of (< or =doctors-a/2 intersection< or =surgeons/1 intersection< or =anesthetists/1 intersection< or =radiologists/1 intersection< or =respirators/1 intersection < or =outpatient beds/1 intersection< or =inpatient beds/1 intersection< or =monitors/1 intersection< or =operation rooms/1 intersection < or =angiography rooms/1) x the minimum integer of (> or =H/2.82+b) CONCLUSION The treatment capacity within local area is able to be assessed by adopting the estimated formula of HTC (MRN).
引言 为评估当地应对灾害的医疗响应能力（如救援能力、转运能力和治疗能力），有必要在和平时期进行评估，并了解医院能够应对多少灾害受害者。在此展示了医院治疗能力（以下简称HTC）的估算公式，即医院可接收的最大患者数量（以下简称MRN），该公式以神户大学医院的应急医疗响应评估为例得出。
材料与方法 我们共治疗了2003年4月至2005年1月期间转至并入住神户大学医院的12032名患者。我们计算了应对410例严重创伤、35例烧伤和28例血液净化患者所需的医务人员数量、设备数量和治疗时间长度，这些被视为灾害中的主要临床情况。此外，我们还调查了我院急诊室和手术室每小时的占用情况。
结果 H小时内每种临床情况的HTC（MRN）由以下公式表示：（1）烧伤患者的HTC（MRN）=（≤医生数量/2与≤呼吸器数量/1与≤门诊病床数量/1与≤住院病床数量/1与≤监护仪数量/1）的最大整数×（≥H/1.85）的最小整数；（2）血液净化患者的HTC（MRN）=（≤医生数量/2与≤血液净化系统数量/1与≤门诊病床数量/1与≤住院病床数量/1与≤监护仪数量/1）的最大整数×（≥H/2.00）的最小整数；（3）严重创伤患者的HTC（MRN）=（≤医生数量-a/2与≤外科医生数量/...（此处原文不完整）
结论 通过采用HTC（MRN）的估算公式，可以评估当地的治疗能力。
