摘要
目的调查2019至2021年重庆市老年患者院前急救现状并分析其流行学特征。方法收集2019至2021年重庆市急救指挥中心调度信息系统中老年患者院前急救全部数据,分析其现状及流行学。结果本研究共收集34882例院前急救老年患者资料,其中2019至2021年以60~70岁患者占比最多(40.39%),其次为≤81岁患者(34.66%);不同年龄段患者中2021年院前急救患者占比最多,均>40%;不同年份、不同年龄段老年院前急救患者男性占比均多于女性;不同年份院前急救老年患者中以内科类疾病占比较多,均>30%,其次为创伤类疾病,均>20%;老年院前急救患者集中于12~2月(冬季)、6~8月(夏季),占比均>10%,而5月为院前急救最低月,2月为院前急救最高月,且最高月份占比超过最低月份的2倍;老年院前急救患者呼叫量上午多于下午,呼叫高峰为08∶00~10∶00,占比11.77%,其次为06∶00~08∶00,占比9.99%,以00∶00~02∶00呼叫量最少,占比5.32%。结论重庆市应重视人口老龄化问题,实时进行健康管理,根据季节分布、月份分布及日高峰时间段分布情况进行调度指挥,安排院前急救工作,优化急救设备及急救人员的配置,重点培训内科类疾病、创伤等急症的现场救治,提高救治率。
Objective To investigate the current situation and epidemiological characteristics of pre-hospital care for elderly patients in Chongqing from 2019 to 2021.Methods All pre-hospital care data of middle-aged and elderly patients in the dispatch information system of Chongqing Emergency Command Center from 2019 to 2021 were collected for analyzing its current situation and epidemiology.Results Eligible 34,882 elderly patients underwent pre-hospital care were include in this study,of which the largest number of patients were 60 to 70 years old from 2019 to 2021,followed by patients aged 81 and above,accounting for 40.39%and 34.66%,respectively.The incidence of emergency in 2021 was the largest proportion(all above 40%).Male elderly patients underwent pre-hospital care were more than female in different years and age groups.The incidence of emergency department visit of internal medicine diseases had a large proportion,followed by trauma diseases,accounting for more than 30%and 20%,respectively.The incidence seasons of emergency were December-February(winter)and June-August(summer),both of which accounting for more than 10%.May and February were the lowest and highest months for pre-hospital care,respectively,and the proportion of the highest month was more than 2 times that of the lowest month.The numbers of emergency call in the morning were more than those in the afternoon.The peak number of calls was 08∶00-10∶00,followed by 06∶00-08∶00,and 00∶00-02∶00,accounting for 11.77%,9.99%and 5.32%,respectively.Conclusion Chongqing should pay attention to the problem of population aging,conduct real-time health management,dispatch and command according to seasonal distribution,monthly distribution and daily peak time distribution,arrange pre-hospital emergency work,optimize the allocation of emergency equipment and emergency personnel,and focus on training on-site treatment of medical diseases,trauma and other emergencies,so as to improve the treatment rate.
作者
王业强
蒋武
WANG Yeqiang;JIANG Wu(Department of Pre-hospital Emergency,Chongqing Emergency Medical Center(the Fourth People’s Hospital of Chongqing),Chongqing 400000,China)
出处
《河北医药》
CAS
2024年第9期1420-1422,共3页
Hebei Medical Journal
基金
重庆市卫生计生委科技项目(编号:ZY201802003)。
关键词
老年人
院前急救
流行学特征
现状
调查
elderly
pre-hospital care
epidemiological characteristics
current situation
investigation