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摘要: 目的:了解某一线城市2015-2016年院前急救患者的流行病学特征,为提升院前急救的服务质量、优化急救资源配置提供理论依据。方法:从某一线城市急救医疗指挥中心管理系统数据库提取2015-07-2016-06的全部院前急救患者资料106 304例,进行回顾性分析。结果:106 304例患者中男58 641例,女47 183例,男女比例1.24∶1。患者平均年龄(53.6±24.1)岁,≥75岁和25~44岁年龄段患者所占比例均超过25.0%。院前急救的高峰季节为春、冬季,一天中高峰时间段为8:00~00:00和20:00~22:00。疾病谱中排名前3位的系统疾病依次为:创伤、心脑血管疾病和呼吸系统疾病。院前急救的平均反应时间为(14.3±5.4) min。结论:院前急救患者的数量在季节、时间和疾病谱等分布上具有一定的特点和趋势,急救医疗指挥中心以及相关部门应该据此优化急救资源配置,提高院前急救效率。Abstract: Objective:To analyze the epidemiology of pre-hospital patients from 2015 to 2016 in a first-tier city,in order to improve pre-hospital quality and make emergency resources to be optimized rationally.Method:A total of 106304 calls received from the pre-hospital emergency center of the first-tier city were performed retrospectively from Jul-2015 to Jun-2016.Result:There were 106304 valid cases included 58641 males and 47183 females,the ratio of male to female was 1.24∶1.Age groups of ≥75 and 25~44 accounted for more than 25.0%.Spring and autumn were the peak season during a year,and the peak time were 9:00~00:00 and 20:00~22:00 in one day.The leading three diseases were trauma,cardiovascular disease (CVDs) and respiratory system diseases.The reaction time of pre-hospital emergency was (14.3±5.4) min.Conclusion:The number of pre-hospital emergency patients had characteristics and trend,such as season,time and disease spectrum.According to epidemiology feature of pre-hospital emergency patients,pre-hospital emergency centers,and related departments should optimize emergency resource and improve the effectiveness of pre-hospital emergency services.
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Key words:
- pre-hospital care /
- emergency medical service /
- epidemiology /
- disease spectrum
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