安大略省北部偏远第一民族地区医疗急救的流行病学特征：使用空中救护转运数据的横断面描述性研究。

Epidemiologic features of medical emergencies in remote First Nations in northern Ontario: a cross-sectional descriptive study using air ambulance transport data.

机构信息

Section of Emergency Medicine (VanderBurgh, Savage), Division of Clinical Sciences and Human Sciences Division (Dubois), Northern Ontario School of Medicine; Centre for Applied Health Research (Dubois), St. Joseph's Care Group; School of Nursing (Dubois), Faculty of Health and Behavioural Sciences, Lakehead University; Nishnawbe Aski Nation (Binguis), Thunder Bay, Ont.; Windigo First Nations Council (Maxwell); Sioux Lookout First Nations Health Authority (Bocking, Farrell), Sioux Lookout, Ont.; Division of General Surgery (Tien), Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ont.; School of Human Kinetics (Ritchie), Faculty of Health and Centre for Rural and Northern Health Research (Ritchie), Laurentian University, Sudbury, Ont.; Department of Family and Community Medicine (Orkin), University of Toronto; Department of Emergency Medicine (Orkin), St. Joseph's Health Centre and Humber River Hospital, Toronto, Ont.

出版信息

CMAJ Open. 2020 May 23;8(2):E400-E406. doi: 10.9778/cmajo.20190186. Print 2020 Apr-Jun.

DOI:10.9778/cmajo.20190186

PMID:32447282

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7252685/

Abstract

BACKGROUND

For about 25 000 Ontarians living in remote northern First Nations communities, seeing a doctor in an emergency department requires flying in an airplane or helicopter. This study describes the demographic and epidemiologic characteristics of patients transported from these communities to access hospital-based emergency medical care.

METHODS

In this cross-sectional descriptive study, we examined primary medical data on patient transportation from Ornge, the provincial medical air ambulance service provider, for 26 remote Nishnawbe Aski Nation communities in northern Ontario from 2012 to 2016. We described these transports using univariate descriptive statistics.

RESULTS

Over the 5-year study period, 10 538 patients (mean 2107.6 per year) were transported by Ornge from the 26 communities. Transport incidence ranged from 9.2 to 9.5 per 100 on-reserve population per year. Women aged 65 years or more had the highest transport incidence (25.9 per 100). Girls aged 5-9 years had the lowest mean incidence (2.1 per 100). Gastrointestinal issues accounted for 13.3% of transfers. Neurologic issues, respiratory issues and trauma each accounted for about 11% of transfers, and cardiac issues for 9.6%. Patients with obstetric issues accounted for 7.6% of transfers per year, and toxicologic emergencies for 7.5%.

INTERPRETATION

This study provides the epidemiologic foundation to improve emergency care and emergency transport from remote First Nation communities in Ontario.

摘要

背景

对于安大略省约 25000 名居住在偏远北部第一民族社区的人来说，在急诊部门看医生需要乘坐飞机或直升机。本研究描述了从这些社区运送病人到医院急诊医疗的人口统计学和流行病学特征。

方法

在这项横断面描述性研究中，我们检查了安大略省医疗空中救护服务提供商 Ornge 从 2012 年至 2016 年为北部安大略省 26 个 Nishnawbe Aski 民族社区运送的患者的主要医疗数据。我们使用单变量描述性统计对这些运输进行了描述。

结果

在 5 年的研究期间，有 10538 名患者（平均每年 2107.6 人）通过 Ornge 从 26 个社区运送。运输发生率每年每 100 名居住在保留地的人口中为 9.2 至 9.5 人。65 岁或以上的女性运输发生率最高（25.9 人/每 100 人）。5-9 岁的女孩发生率最低（2.1 人/每 100 人）。胃肠道问题占转运的 13.3%。神经问题、呼吸问题和创伤各占约 11%的转运，而心脏问题占 9.6%。每年妇产科问题患者占转运的 7.6%，中毒性紧急情况占 7.5%。