Effect of Critical Care Transport on Patients' Survival after Inter-Hospital Transport of Critically Ill Patients
Journal of the Korean Society of Emergency Medicine
; : 1-16, 2017.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-222543
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
Critical care transport (CCT) has been known to be beneficial for inter-hospital transport of critically ill patients. Seoul Mobile Intensive Care Unit (SMICU) has been established and provided CCT in Seoul Metropolitan City since 2015. We tested the association between SMICU transport and hospital outcome for critically ill patients.METHODS:
This is a before and after intervention study. SMICU group with cardiac arrest, acute myocardial infarction, acute stroke, major trauma, respiratory failure, and shock who were transported by SMICU from January to July 2016 were collected as an intervention group. Non-SMICU group with the same above diagnosis criteria who were transported by private ambulance services during same period in 2015. By National Emergency Department Information System (NEDIS), demographics were compared for original data and sampling data. Multivariable logistic regression analysis was done to calculate the adjusted odds ratios (AORs) with 95% confidence intervals (95% CIs) adjusting for potential confounders.RESULTS:
Total 1,837 patients (128 SMICU and 1,709 non-SMICU group) for original dataset and 180 patients (60 SMICU and 120 non-SMICU group) for sampling dataset were finally analyzed. Hospital mortality rates are 22.7% in SMICU and 11.8% in non-SMICU in original dataset (p<0.001), 26.7% in SMICU and 31.7% in non-SMICU in sampling dataset (p=0.490), respectively. AOR (95% CIs) for hospital mortality by SMICU in original and sampling dataset were 0.80 (0.48-1.35) and 0.71 (0.33-1.51), respectively.CONCLUSION:
The CCT for critically ill patients did not show significantly better hospital mortality in the pilot study.
Texto completo:
Disponível
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
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ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
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ODS3 - Meta 3.6 Reduzir as mortes e traumatismos por acidentes de transito
Problema de saúde:
Objetivo 6: Sistemas de informação em saúde
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Meta 3.6: Reduzir as mortes e traumatismos por acidentes de transito
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Doença Cardiovascular
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Doença Cerebrovascular
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Doença Isquêmica do Coração
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Outras Doenças Respiratórias
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Abuso de Substâncias e Acidentes Rodoviários
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Resposta Pós-Acidente
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Insuficiência Respiratória
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Choque
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Sistemas de Informação
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Modelos Logísticos
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Razão de Chances
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Projetos Piloto
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Demografia
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Mortalidade
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Ambulâncias
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Transporte de Pacientes
Tipo de estudo:
Estudo diagnóstico
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Estudo de etiologia
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Estudo prognóstico
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Fatores de risco
Aspecto:
Determinantes sociais da saúde
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Equidade e iniquidade
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2017
Tipo de documento:
Artigo