Ackermann O, Heigel U, Lazic D, Vogel T, Schofer M D, Rülander C
Klinik für Orthopädie und Unfallchirurgie, Klinikum Duisburg.
Z Orthop Unfall. 2012 Apr;150(2):205-9. doi: 10.1055/s-0031-1298210. Epub 2012 Apr 12.
For the clinical planning of mass events the emergency departments are of critical importance, but there are still no data available for the workload in these cases. As this is essential for an effective medical preparation, we calculated the workload based on the ICD codes of the vicitims at the Loveparade 2010 in Duisburg.
Based on the patient data of the Loveparade 2010 we used a filter diagnosis to estimate the number of shock room patients, regular admittances, surgical wound treatments, applications of casts or splints, and diagnosis of drug abuse. In addition every patient was classified to a Manchester Triage System category. This resulted in a chronological and quantitative work-load profile of the emergency department, which was evaluated by the clinical experiences of the departmental medical staff.
The workload profile as a whole displayed a realistic image of the real true situation on July 24, 2010. While only the number, diagnosis and chronology of medical surgical patients was realistic, the MTS classification was not. The emergency department had a maximum of 6 emergency room admittances, 6 regular admittances, 4-5 surgical wound treatments, 3 casts and 2 drug abuse patients per hour.
The calculation of workload from the ICD data is a reasonable tool for retrospective estimation of the workload of an emergency department, the data can be used for future planning. The retrospective MTS grouping is at present not suitable for a realistic calculation. Retrospective measures in the MTS groups are at present not sufficiently suitable for valid data publication.
对于大型活动的临床规划而言，急诊科至关重要，但目前尚无此类情况下工作量的数据。由于这对有效的医疗准备至关重要，我们根据2010年杜伊斯堡爱的大游行受害者的国际疾病分类代码计算了工作量。
基于2010年爱的大游行患者数据，我们使用筛选诊断来估计休克室患者数量、常规入院人数、外科伤口处理数量、石膏或夹板应用数量以及药物滥用诊断数量。此外，将每位患者归类到曼彻斯特分诊系统类别。这得出了急诊科按时间顺序排列的定量工作量概况，并由科室医务人员的临床经验进行评估。
整体工作量概况呈现出2010年7月24日真实情况的现实画面。虽然只有外科患者的数量、诊断和时间顺序是现实的，但曼彻斯特分诊系统分类并非如此。急诊科每小时最多有6例急诊室入院患者、6例常规入院患者、4 - 5例外科伤口处理、3例石膏固定和2例药物滥用患者。
根据国际疾病分类数据计算工作量是回顾性估计急诊科工作量的合理工具，这些数据可用于未来规划。目前，回顾性的曼彻斯特分诊系统分组不适合进行现实的计算。目前，曼彻斯特分诊系统组中的回顾性措施不足以用于有效的数据发布。
