2019年冠状病毒病（COVID-19）大流行对泰国曼谷紧急医疗服务系统使用情况的影响。
The Impact of the Coronavirus Disease 2019 (Covid-19) Pandemic on the Use of Emergency Medical Services System in Bangkok, Thailand.
作者信息
Huabbangyang Thongpitak, Trakulsrichai Satariya, Yuksen Chaiyaporn, Sricharoen Pungkava
机构信息
Department of Emergency Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
出版信息
Open Access Emerg Med. 2022 Aug 4;14:429-440. doi: 10.2147/OAEM.S375320. eCollection 2022.
BACKGROUND
Coronavirus disease 2019 (COVID-19) has widely affected the global public health system, especially the emergency medical service (EMS), which has been the first responders since 2020. However, this pandemic persists with still limited studies on its impact on EMS. This study aimed to compare the number of EMS patients and the operation periods of Bangkok EMS in Thailand between 2020 (severe COVID-19 pandemic) and 2019 (prepandemic).
PATIENTS AND METHODS
We retrospectively analyzed data of patients with severe COVID-19 were collected from the emergency medical information system of Bangkok EMS center. Data were compared between the two periods. The COVID-19 pandemic period (study period) spanned from January 01, 2020 to December 31, 2020, whereas the control period referred to the same period in the previous year (January 01, 2019 to December 31, 2019).
RESULTS
A total of 178,594 patients were serviced by EMS, with 93,288 during the study period and 85,306 during the control period. The study period had more EMS patients overall by 9.36% (95% confidence interval [CI]: 9.16-9.55) and significantly more EMS patients per day, with a mean difference of 21.19 (254.90 ± 25.55 vs 233.71 ± 23.49; 95% CI: 17.63-24.76, p < 0.001), than the control period. Furthermore, all EMS operation periods studied were significantly longer during the study period.
CONCLUSION
During COVID-19 pandemic period, a significantly increased number of EMS patients compared to one during non-COVID-19 pandemic period for both traumatic and non-traumatic patients, as well as remarkably increased every EMS operation period of both groups during COVID-19 pandemic period were found in the present study. From this knowledge, provision of necessary EMS resources and preparation of emergency staff to be ready for management of future pandemics should be obtained to reduce EMS operation period in the future pandemics.
背景
2019年冠状病毒病（COVID-19）对全球公共卫生系统产生了广泛影响，尤其是紧急医疗服务（EMS），自2020年以来，紧急医疗服务人员一直是首批响应者。然而，这场大流行仍在持续，关于其对紧急医疗服务影响的研究仍然有限。本研究旨在比较泰国曼谷紧急医疗服务在2020年（COVID-19大流行严重时期）和2019年（大流行前）的紧急医疗服务患者数量和运营时长。
患者与方法
我们回顾性分析了从曼谷紧急医疗服务中心的紧急医疗信息系统收集的重症COVID-19患者数据。对两个时期的数据进行了比较。COVID-19大流行时期（研究期）为2020年1月1日至2020年12月31日，而对照期为上一年的同一时期（2019年1月1日至2019年12月31日）。
结果
紧急医疗服务共服务了178,594名患者，研究期为93,288名，对照期为85,306名。研究期的紧急医疗服务患者总数总体上多9.36%（95%置信区间[CI]：9.16 - 9.55），且每天的紧急医疗服务患者显著更多，平均差异为21.19（254.90 ± 25.55对233.71 ± 23.49；95% CI：17.63 - 24.76，p < 0.001），高于对照期。此外，研究期内所有研究的紧急医疗服务运营时长均显著更长。
结论
在本研究中发现，与非COVID-19大流行时期相比，COVID-19大流行时期创伤性和非创伤性患者的紧急医疗服务患者数量显著增加，且两个组在COVID-19大流行时期的每个紧急医疗服务运营时长均显著增加。基于这一认识，应提供必要的紧急医疗服务资源并让应急人员做好应对未来大流行的准备，以缩短未来大流行期间的紧急医疗服务运营时长。
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