前瞻性研究远程医疗和遥测技术对全球医疗后送率的影响。
A Prospective Investigation of the Impact of Telemedicine and Telemetry on Global Medical Evacuation Rates.
机构信息
From the Shell Health, Shell International Ltd, Shell Centre, London, United Kingdom (Dr Stilz); Shell Health, Shell International B.V., Houston, TX (Dr Freire de Carvalho); Global Health Services, Johnson & Johnson, Leiden, the Netherlands, (previous affiliation: Shell Health, Shell International B.V., the Hague, NL) (Ms Toner); Shell Health, Shell International B.V., the Hague, NL (Dr Berg).
出版信息
J Occup Environ Med. 2022 Dec 1;64(12):1067-1072. doi: 10.1097/JOM.0000000000002684. Epub 2022 Aug 22.
OBJECTIVES
This study examines whether the availability of telemedicine on offshore installations reduces medical evacuation rates.
METHODS
This is a prospective cohort study on offshore platforms in the United States, Malaysia, and the United Kingdom. Emergency evacuation rates were compared between locations with telemedicine (United States) and 2 control groups without telemedicine (Malaysia, United Kingdom).
RESULTS
Three hundred eighty-four cases in the telemedicine group and 261 cases in the control groups were included. The odds (adjusted and unadjusted) of medical evacuation were significantly higher for assets without telemedicine, contractors, and age older than 60 years. Analysis indicated a shift from emergency evacuation to routine transport for the telemedicine group.
CONCLUSIONS
Telemedicine reduces emergency medical evacuations from offshore installations. This reduction is likely due to an increased capacity for transforming emergency care into routine care at the offshore location.
目的
本研究旨在探讨海上设施提供远程医疗服务是否能降低医疗后送率。
方法
这是一项在美国、马来西亚和英国进行的海上平台前瞻性队列研究。对设有远程医疗的地点（美国）与 2 个无远程医疗的对照组（马来西亚、英国）的紧急后送率进行了比较。
结果
共纳入远程医疗组 384 例和对照组 261 例。无远程医疗的资产、承包商以及年龄大于 60 岁的患者，其医疗后送的可能性（调整后和未调整）显著更高。分析表明，远程医疗组的后送模式从紧急后送转为常规转运。
结论
远程医疗可降低海上设施的紧急医疗后送。这种减少可能是由于海上地点的紧急护理转变成常规护理的能力增强所致。
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