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COVID-19 大流行前后的院前急救任务时间指标:伊朗的一项横断面研究。

Time indices of pre-hospital EMS missions before and during the COVID-19 pandemic: a cross-sectional study in Iran.

机构信息

Department of Medical Emergency, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.

Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.

出版信息

BMC Emerg Med. 2023 Jan 28;23(1):9. doi: 10.1186/s12873-023-00780-3.

Abstract

BACKGROUND

The COVID-19 pandemic resulted in many changes in pre-hospital emergency medical services (EMS), including wearing full-body protective suits and well-fitted face masks, which can influence time indices in the course of service delivery. The present study aimed to compare the time indices of pre-hospital EMS missions before and during the COVID-19 pandemic in Iran.

METHODS

This descriptive cross-sectional study used census sampling to select 17,860 emergency calls that caused patient transfer to medical facilities from March 2018 to March 2021 and then examined the time indices of pre-hospital EMS missions during the COVID-19 pandemic. The data collection tool was a two-part checklist: patients' individual characteristics and pre-hospital EMS mission time indices. The data were further analyzed using the SPSS16 and independent samples t-test.

RESULTS

Out of the patients transferred by the EMS, 11,773 cases (65.9%) were male and 6,087 (34.1%) were female. The most common reason for the emergency calls was accidents (28.0%). Moreover, response time (P < 0.001), on-scene time (P < 0.001), transfer time (P < 0.001), total run time (P < 0.001), and round trip time (P < 0.001) increased significantly during the COVID-19 pandemic.

CONCLUSIONS

We concluded that the EMS time indices elevated following the COVID-19 pandemic. Updating pre-hospital information management systems, ambulances and medical equipment, as well as holding training courses for pre-hospital EMS personnel could effectively enhance the time indices of pre-hospital EMS missions.

摘要

背景

COVID-19 大流行导致院前急救医疗服务(EMS)发生了许多变化,包括穿着全身防护服和贴合良好的口罩,这会影响服务提供过程中的时间指标。本研究旨在比较伊朗 COVID-19 大流行前后院前 EMS 任务的时间指标。

方法

本描述性横断面研究采用普查抽样法,从 2018 年 3 月至 2021 年 3 月选择了 17860 例导致患者转至医疗机构的紧急呼叫,并检查了 COVID-19 大流行期间院前 EMS 任务的时间指标。数据收集工具是一份两部分检查表:患者的个体特征和院前 EMS 任务时间指标。使用 SPSS16 对数据进行进一步分析,并采用独立样本 t 检验。

结果

在由 EMS 转运的患者中,有 11773 例(65.9%)为男性,6087 例(34.1%)为女性。紧急呼叫最常见的原因是事故(28.0%)。此外,响应时间(P<0.001)、现场时间(P<0.001)、转运时间(P<0.001)、总运行时间(P<0.001)和往返时间(P<0.001)在 COVID-19 大流行期间显著增加。

结论

我们得出结论,EMS 时间指标在 COVID-19 大流行后升高。更新院前信息管理系统、救护车和医疗设备,并为院前 EMS 人员举办培训课程,可以有效提高院前 EMS 任务的时间指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45ad/9883952/0af13e265786/12873_2023_780_Fig1_HTML.jpg

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