目的评价新型冠状病毒感染疫情对某医院门诊量的影响。方法收集2018年1月至2022年12月某医院门诊量较大的10个代表性科室门诊量数据,采用中断时间序列分析方法(interrupted time series analysis,ITSA)分析各科室门诊量的变化趋势。结...目的评价新型冠状病毒感染疫情对某医院门诊量的影响。方法收集2018年1月至2022年12月某医院门诊量较大的10个代表性科室门诊量数据,采用中断时间序列分析方法(interrupted time series analysis,ITSA)分析各科室门诊量的变化趋势。结果第一中断点,7个科室瞬时门诊量降低,降幅由高到低分别为儿科(β_(2)=-2831.36)、普通外科(β_(2)=-877.32)、皮肤科(β_(2)=-838.33)、骨科(β_(2)=-569.82)、产科(β_(2)=-476.25)、呼吸内科(β_(2)=-304.79)、消化内科(β_(2)=-294.36);感染病科瞬时门诊量增高(β_(2)=2169.04);对妇科、肾内科门诊量影响无统计学意义(P值均>0.05)。第二中断点,有4个科室瞬时门诊量降低,降幅由高到低分别为感染病科(β_(2)=-5158.29)、儿科(β_(2)=-3695.49)、肾内科(β_(2)=-1308.83)、呼吸内科(β_(2)=-1152.95);感染病科(β5=311.07,P<0.05)、儿科(β5=195.99,P<0.05)、呼吸内科(β5=142.79,P<0.05),在第二中断点后月门诊量呈现上升趋势且增长速度有所加快。结论第一中断点对该医院门诊量影响较大,第二中断点影响相对较小,且部分门诊量反弹较为明显。疫情暴发对医疗资源配置和疫情防控工作有较大挑战。展开更多
Objective To investigate the short-term association between outdoor air pollution and outpatient visits for acute bronchitis,which is a rare subject of research in the mainland of China.Methods A time-series analysis ...Objective To investigate the short-term association between outdoor air pollution and outpatient visits for acute bronchitis,which is a rare subject of research in the mainland of China.Methods A time-series analysis was conducted to examine the association of outdoor air pollutants with hospital outpatient visits in Shanghai by using two-year daily data（2010-2011）.Results Outdoor air pollution was found to be associated with an increased risk of outpatient visits for acute bronchitis in Shanghai.The effect estimates of air pollutants varied with the lag structures of the concentrations of the pollutants.For lag06,a 10 μg/m3 increase in the concentrations of PM10,SO2,and NO2 corresponded to 0.94%（95% CI：0.83%,1.05%）,11.12%（95% CI：10.76%,11.48%）,and 4.84%（95% CI：4.49%,5.18%） increases in hospital visits for acute bronchitis,respectively.These associations appeared to be stronger in females（P〈0.05）.Between-age differences were significant for SO2（P〈0.05）,and between-season differences were also significant for SO2（P〈0.05）.Conclusion Our analyses have provided the first evidence that the current air pollution level in China has an effect on acute bronchitis and that the rationale for further limiting air pollution levels in Shanghai should be strengthened.展开更多
文摘目的评价新型冠状病毒感染疫情对某医院门诊量的影响。方法收集2018年1月至2022年12月某医院门诊量较大的10个代表性科室门诊量数据,采用中断时间序列分析方法(interrupted time series analysis,ITSA)分析各科室门诊量的变化趋势。结果第一中断点,7个科室瞬时门诊量降低,降幅由高到低分别为儿科(β_(2)=-2831.36)、普通外科(β_(2)=-877.32)、皮肤科(β_(2)=-838.33)、骨科(β_(2)=-569.82)、产科(β_(2)=-476.25)、呼吸内科(β_(2)=-304.79)、消化内科(β_(2)=-294.36);感染病科瞬时门诊量增高(β_(2)=2169.04);对妇科、肾内科门诊量影响无统计学意义(P值均>0.05)。第二中断点,有4个科室瞬时门诊量降低,降幅由高到低分别为感染病科(β_(2)=-5158.29)、儿科(β_(2)=-3695.49)、肾内科(β_(2)=-1308.83)、呼吸内科(β_(2)=-1152.95);感染病科(β5=311.07,P<0.05)、儿科(β5=195.99,P<0.05)、呼吸内科(β5=142.79,P<0.05),在第二中断点后月门诊量呈现上升趋势且增长速度有所加快。结论第一中断点对该医院门诊量影响较大,第二中断点影响相对较小,且部分门诊量反弹较为明显。疫情暴发对医疗资源配置和疫情防控工作有较大挑战。
基金supported by the National Clinical Key Subject Construction for founds(occupational disease Program),the National Basic Research Program(973 program)of China(2011CB503802)National Natural Science Foundation of China(81222036)Gong-Yi Program of China Ministry of Environmental Protection(201209008)
文摘Objective To investigate the short-term association between outdoor air pollution and outpatient visits for acute bronchitis,which is a rare subject of research in the mainland of China.Methods A time-series analysis was conducted to examine the association of outdoor air pollutants with hospital outpatient visits in Shanghai by using two-year daily data（2010-2011）.Results Outdoor air pollution was found to be associated with an increased risk of outpatient visits for acute bronchitis in Shanghai.The effect estimates of air pollutants varied with the lag structures of the concentrations of the pollutants.For lag06,a 10 μg/m3 increase in the concentrations of PM10,SO2,and NO2 corresponded to 0.94%（95% CI：0.83%,1.05%）,11.12%（95% CI：10.76%,11.48%）,and 4.84%（95% CI：4.49%,5.18%） increases in hospital visits for acute bronchitis,respectively.These associations appeared to be stronger in females（P〈0.05）.Between-age differences were significant for SO2（P〈0.05）,and between-season differences were also significant for SO2（P〈0.05）.Conclusion Our analyses have provided the first evidence that the current air pollution level in China has an effect on acute bronchitis and that the rationale for further limiting air pollution levels in Shanghai should be strengthened.
