关键词: accident employee illness medical rescue patient workplace

Mesh : Male Middle Aged Humans Female Adult Retrospective Studies Case-Control Studies Emergencies Emergency Medical Services Workplace

来  源:   DOI:10.3390/ijerph20031863

Abstract:
Accidents and emergencies in the workplace account for a significant proportion of emergency calls worldwide. The specificity of these events is often associated with hazards at a given workplace. Patients do not always require hospitalization; therefore, the characteristics of events can only be determined from the perspective of emergency medical services teams. The aim of the study was to analyze calls and the course of emergency ambulance interventions to patients at their workplace.
The study was conducted based on a retrospective analysis of data contained in the medical records of the ambulance service from central Poland from 2015-2018. From all interventions (n = 155,993), 1601 calls to work were selected, and the urgency code, time of day and year, patients\' sex, general condition, as well as diagnoses according to the International Classification of Diseases-ICD-10 and the method of ending the call were considered.
The mean age of patients in the study group was 42.4 years (SD ± 13.5). The majority were men (n = 918; 57.3%). The number of calls increased in the autumn (n = 457; 28.5%) and in the morning (n = 609; 38.0%). The main reasons for the intervention were illnesses (ICD-10 group: R-\'symptoms\') and injuries (ICD-10 group: S, T-\'injuries\'). Calls at workplaces most often ended with the patient being transported to the hospital (78.8%), and least often with his death (0.8%).
The patient profile in the workplace indicates middle-aged men who fall ill in the fall, requiring transport to the hospital and further diagnostics.
摘要:
背景:工作场所的事故和紧急情况在全球紧急呼叫中占很大比例。这些事件的特殊性通常与给定工作场所的危险有关。患者并不总是需要住院治疗;因此,事件的特征只能从紧急医疗服务团队的角度来确定。该研究的目的是分析在工作场所对患者进行紧急救护车干预的呼叫和过程。
方法:该研究是基于对2015-2018年波兰中部救护车服务病历中包含的数据的回顾性分析进行的。在所有干预措施中(n=155,993),选择了1601个工作电话,和紧急代码,一天和一年的时间,病人性,一般情况,以及根据国际疾病分类-ICD-10的诊断和结束呼叫的方法被考虑。
结果:研究组患者的平均年龄为42.4岁(SD±13.5)。大多数是男性(n=918;57.3%)。秋季(n=457;28.5%)和早晨(n=609;38.0%)的电话数量增加。干预的主要原因是疾病(ICD-10组:R-“症状”)和损伤(ICD-10组:S,T-\'伤害\')。工作场所的电话最常见的是将患者送往医院(78.8%),最不常见的是他的死亡(0.8%)。
结论:工作场所的患者资料表明,中年男子在跌倒时患病,需要运送到医院和进一步的诊断。
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