摘要
目的 以北京某三甲综合医院为例,分析"新十条"措施的落地后该医院面临的新冠救治压力及采取的应对策略,了解应对策略措施的效果.方法 收集2022年11月1日-2023年1月31日北京某三甲综合医院每日在院人数和每日死亡人数等.根据该院救治压力变化趋势及采取综合措施的时间,将研究时间分成3个不同时间段:疫情高峰初期(2022年11月1日-2022年12月5日,35天),疫情高峰期(2022年12月6日-2022年12月31日,26天)和疫情高峰后期(2023年1月1日-2023年1月31日,31天).分析不同时期医院所面临的救治压力及采取的应对策略与措施.结果 疫情高峰期日均(中位数)在院人数从高峰初期的1002人急剧增至1985人,较前增加了 1.98倍,该院采取了多阶段的综合救治应对措施,包括精准快速分流,重症患者救治和药品物资供应等.疫情高峰后期,日均在院人数下降至1695人,是高峰期的0.85倍.疫情高峰初期和疫情高峰期,每日在院人数与每日死亡人数呈正相关(r=0.47,r=0.58;P=0.004,P=0.002)而疫情高峰后期,每日在院人数与每日死亡人数没有相关性(r=0.23;P=0.22).结论 面对此次疫情就诊高峰,医院采取全方位,科学及时的综合应对措施,多措并举有效应对了救治高峰,为今后应对其他重大公共卫生事件提供经验借鉴.
Abstract
Objectives This study aims to analyze the COVID-19 treatment pressure faced by a tertiary general hospital in Beijing after the implementation of the"New Ten Measures,"assess the response strategies adopted,and understand their effectiveness.Methods The daily number of hospital admissions and the daily number of deaths in a tertiary general hospital in Beijing from November 1,2022 to January 31,2023 were collected.Based on the changing trend of the hospital's treatment pressure and the time when comprehensive measures were taken,the research time was divided into three different time periods:the early stage of the epidemic peak(November 1,2022-December 5,2022,35 days),and the peak period of the epidemic(35 days)December 6,2022-December 31,2022,26 days)and the late peak period of the epidemic(January 1,2023-January 31,2023,31 days).The treatment pressure faced by hospitals in different periods and the response strategies and measures adopted were analyzed.Results During the peak period of the epidemic,the daily average(median)number of people in hospital increased sharply from 1,002 at the beginning of the peak to 1,985,an increase of 1.98 times.The hospital adopted multi-stage comprehensive treatment and response measures,including precise and rapid triage,treatment of severe patients and supply of medicines and supplies.At the end of the peak period of the epidemic,the average daily number of people in hospital dropped to 1,695,which was 0.85 times that of the peak period.In the early and peak stages of the epidemic,there was a positive correlation between the daily number of people in hospital and the daily number of deaths(r=0.47,r=0.58;P=0.004,P=0.002),while in the later stages of the epidemic peak,there was no correlation between the daily number of people in hospital and the daily number of deaths(r=0.23;P=0.22).Conclusions During the peak of the epidemic,the hospital implemented comprehensive,scientific,and timely response measures,effectively managing the surge in patient volume.These measures provide valuable experience and serve as a reference for future responses to other major public health events.
基金项目
高层次公共卫生技术人才项目培养计划(学科带头人-01-006)
北京市重大疫情防治重点专科项目(项目号)()
维普
万方数据