Plakht Ygal, Shiyovich Arthur, Francine Lauthman, Shoshan Yehuda, Antonovitch Dina, Waknine Nurit, Barabi Tal, Sherf Michael
Clinical Research Center, Soroka University Medical Center, Beer Sheva, Israel.
Isr Med Assoc J. 2011 Feb;13(2):69-75.
During military escalations emergency departments provide treatment both to victims of conflict-related injuries and to routine admissions. This requires special deployment by the hospitals to optimize utilization of resources.
To evaluate routine visits to the ED during Operation Cast Lead in Israel in 2008-2009.
We obtained data regarding routine visits to the ED at Soroka University Medical Center throughout OCL. The visits one month before and after OCL and the corresponding periods one year previous served as controls.
The mean number of daily visits throughout the study period (126 days) was 506 +/- 80.9, which was significantly lower during OCL (443.5 +/- 82) compared with the reference periods (P < 0.001). Compared to the reference periods, during OCL the rates were higher among Bedouins, visitors from the region closest to the Gaza Strip (< 30 km), patients transported to the ED by ambulance and patients of employment age; the rates were lower among children. No difference in the different periods was found in the rate of women patients, the rate of patients referred to the ED by a community physician, and hour of arrival. The overall in-hospital admission rate increased during OCL, mainly in the internal medicine and the obstetric departments. There was no change in the number of in-hospital births during OCL; however, the rate of preterm labors (32-36 weeks) decreased by 41% (P = 0.013).
Throughout OCLthe number of routine ED visits decreased significantly compared to the control periods. This finding could help to optimize the utilization of hospital resources during similar periods.
在军事冲突升级期间，急诊科既要为与冲突相关的受伤者提供治疗，也要处理常规入院患者。这就要求医院进行特殊调配，以优化资源利用。
评估2008 - 2009年以色列“铸铅行动”期间急诊科的常规就诊情况。
我们获取了索罗卡大学医学中心在整个“铸铅行动”期间急诊科常规就诊的数据。将“铸铅行动”前后一个月的就诊情况以及前一年相应时间段作为对照。
在整个研究期间（126天），每日就诊的平均次数为506±80.9次，与对照期相比，“铸铅行动”期间（443.5±82次）显著降低（P<0.001）。与对照期相比，在“铸铅行动”期间，贝都因人、来自距离加沙地带最近地区（<30公里）的访客、通过救护车送往急诊科的患者以及就业年龄患者的就诊率较高；儿童的就诊率较低。在不同时期，女性患者的就诊率、由社区医生转诊至急诊科的患者比例以及到达时间方面均未发现差异。“铸铅行动”期间医院总体入院率有所上升，主要在内科和产科。“铸铅行动”期间院内分娩数量没有变化；然而，早产（32 - 36周）率下降了41%（P = 0.013）。
在整个“铸铅行动”期间，与对照期相比，急诊科的常规就诊次数显著减少。这一发现有助于在类似时期优化医院资源的利用。
