The Impact of the Coronavirus Disease 2019 (Covid-19) Pandemic on the Use of Emergency Medical Services System in Bangkok, Thailand.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-08-04 eCollection Date: 2022-01-01 DOI:10.2147/OAEM.S375320

Thongpitak Huabbangyang, Satariya Trakulsrichai, Chaiyaporn Yuksen, Pungkava Sricharoen

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引用次数: 3

Abstract

Background: Coronavirus disease 2019 (COVID-19) has widely affected the global public health system, especially the emergency medical service (EMS), which has been the first responders since 2020. However, this pandemic persists with still limited studies on its impact on EMS. This study aimed to compare the number of EMS patients and the operation periods of Bangkok EMS in Thailand between 2020 (severe COVID-19 pandemic) and 2019 (prepandemic).

Patients and methods: We retrospectively analyzed data of patients with severe COVID-19 were collected from the emergency medical information system of Bangkok EMS center. Data were compared between the two periods. The COVID-19 pandemic period (study period) spanned from January 01, 2020 to December 31, 2020, whereas the control period referred to the same period in the previous year (January 01, 2019 to December 31, 2019).

Results: A total of 178,594 patients were serviced by EMS, with 93,288 during the study period and 85,306 during the control period. The study period had more EMS patients overall by 9.36% (95% confidence interval [CI]: 9.16-9.55) and significantly more EMS patients per day, with a mean difference of 21.19 (254.90 ± 25.55 vs 233.71 ± 23.49; 95% CI: 17.63-24.76, p < 0.001), than the control period. Furthermore, all EMS operation periods studied were significantly longer during the study period.

Conclusion: During COVID-19 pandemic period, a significantly increased number of EMS patients compared to one during non-COVID-19 pandemic period for both traumatic and non-traumatic patients, as well as remarkably increased every EMS operation period of both groups during COVID-19 pandemic period were found in the present study. From this knowledge, provision of necessary EMS resources and preparation of emergency staff to be ready for management of future pandemics should be obtained to reduce EMS operation period in the future pandemics.

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2019冠状病毒病(Covid-19)大流行对泰国曼谷紧急医疗服务系统使用的影响

背景:2019冠状病毒病(COVID-19)已广泛影响全球公共卫生系统，特别是紧急医疗服务(EMS)，自2020年以来一直是第一响应者。然而，这一流行病仍然存在，关于其对EMS影响的研究仍然有限。本研究旨在比较2020年(COVID-19严重大流行)和2019年(大流行前)泰国曼谷EMS的患者数量和运营时间。患者和方法:回顾性分析从曼谷EMS中心紧急医疗信息系统中收集的重症COVID-19患者资料。对两个时期的数据进行了比较。新冠肺炎大流行期(研究期)为2020年1月1日至2020年12月31日，对照组为上一年同期(2019年1月1日至2019年12月31日)。结果:共有178,594例患者接受了EMS服务，其中研究期93,288例，对照组85,306例。研究期间EMS患者总体增加9.36%(95%可信区间[CI]: 9.16-9.55)，每天EMS患者显著增加，平均差异为21.19(254.90±25.55 vs 233.71±23.49;95% CI: 17.63 ~ 24.76, p < 0.001)，较对照期显著增加。此外，在研究期间，所有研究的EMS操作时间均显着延长。结论:本研究发现，在COVID-19大流行期间，创伤性和非创伤性患者的EMS患者数量均显著高于非COVID-19大流行期间的1例，且两组患者在COVID-19大流行期间的EMS手术次数均显著增加。根据这一认识，应提供必要的EMS资源并培养应急工作人员，为管理未来的大流行病做好准备，以缩短EMS在未来大流行病中的运行时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.