■东京都政府一直在实施基于设施的无症状/轻度冠状病毒病(COVID-19)患者隔离,以方便及时住院转诊。然而,在院前环境中只有少数已发表的研究,与医院转院相关的因素尚不清楚。我们的研究确定了院前环境中与COVID-19恶化相关的因素。
这项病例对照研究评估了COVID-19患者因病情恶化而从隔离设施转院的危险因素以及需要救护车的危险因素,采用多元逻辑回归分析。
■总共,10.590名患者(中位年龄34岁),男性占主导地位(61.1%),包括在内。367(3.5%)被转移到医院,其中44人(12.0%)需要救护车运输。高血压,糖尿病,704例支气管哮喘(6.6%),195(1.8%),和305名(2.9%)患者,分别。调整后,年龄较大,男性,较高的体重指数(BMI),和合并症(包括糖尿病,炎症性肠病,和支气管哮喘)与医院转院有关。年纪大了,男性,较高的BMI显著增加了救护车转移的风险。
■我们的结果可能有助于制定未来可能的COVID-19波的干预措施。
UNASSIGNED: The
Tokyo Metropolitan Government has been implementing facility-based isolation of asymptomatic/mild coronavirus disease (COVID-19) patients to facilitate timely hospital referral. However, there are only a few published studies in prehospital settings, and the factors associated with hospital transfer are unclear. Our study identified the factors associated with COVID-19 deterioration in a prehospital setting.
UNASSIGNED: This
case-control study assessed the risk factors for hospital transfer from isolation facilities and the need for ambulance transport due to deterioration among COVID-19 patients, using multivariate logistic regression analysis.
UNASSIGNED: In total, 10 590 patients (median age 34 years), with male predominance (61.1%), were included. 367 (3.5%) were transferred to hospital, of whom 44 (12.0%) required ambulance transport. Hypertension, diabetes, and bronchial asthma were prevalent in 704 (6.6%), 195 (1.8%), and 305 (2.9%) patients, respectively. After adjustment, older age, male sex, higher body mass index (BMI), and comorbidities (including diabetes, inflammatory bowel disease, and bronchial asthma) were associated with hospital transfer. Older age, male sex, and higher BMI significantly increased the risk of transfer by ambulance.
UNASSIGNED: Our results may be beneficial for the development of intervention measures for probable future COVID-19 waves.