[The SCATTER project: computer-based simulation in the strategic transfer of intensive care patients]. / Das SCATTER-Projekt: Computerbasierte Simulation zur Unterstützung bei der strategischen Verlegung von Intensivpatienten.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
; 67(2): 215-224, 2024 Feb.
Article
em De
| MEDLINE
| ID: mdl-38153419
ABSTRACT
BACKGROUND:
The need for a concept for the nationwide strategic transfer of critical care patients in Germany was highlighted during the COVID-19 (coronavirus disease 2019) pandemic. Despite the cloverleaf concept developed specifically for this purpose, the transfer of large numbers of critical care patients represents a major challenge. With the help of a computer simulation, the SCATTER research project uses a fictitious example to test, develop, and recommend transfer strategies.METHOD:
The simulation was programmed after collecting procedural and structural data on critical care transports within Germany. The simulation allows altering various parameters and testing different transfer scenarios. In a fictitious scenario, nationwide transfers starting from Schleswig-Holstein were simulated and evaluated using predetermined criteria.RESULTS:
In the case of ground-based transfers, it became apparent that, depending on the selected target region, not all patients could be transferred due to the limited range of ground-based vehicles. Although a higher number of patients can be transferred by air, this is associated with additional gurney changes and potential risk to the patient. A distance-dependent transport strategy led to the identical results as purely air-bound transport, since air-bound transport was always chosen due to the long distances.DISCUSSION:
The simulation can be used to develop recommendations and to draw important conclusions from different transfer strategies.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Cuidados Críticos
/
COVID-19
Idioma:
De
Ano de publicação:
2024
Tipo de documento:
Article