Lasting Effects of COVID-19 Pandemic on Prehospital Emergency Medical Service Missions.

IF 1.5 Q3 EMERGENCY MEDICINE Open Access Emergency Medicine Pub Date : 2023-09-18 eCollection Date: 2023-01-01 DOI:10.2147/OAEM.S425272
Isabella Metelmann, Matthes Nagel, Bastian Schneider, Bernd Krämer, Sebastian Kraemer
{"title":"Lasting Effects of COVID-19 Pandemic on Prehospital Emergency Medical Service Missions.","authors":"Isabella Metelmann,&nbsp;Matthes Nagel,&nbsp;Bastian Schneider,&nbsp;Bernd Krämer,&nbsp;Sebastian Kraemer","doi":"10.2147/OAEM.S425272","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The COVID-19 pandemic confronted prehospital emergency medical services (PHEMS) with immense challenges. This study aimed to investigate the development of PHEMS mission numbers and times in the COVID-affected region of Southwest Saxony (SWS).</p><p><strong>Patients and methods: </strong>This was a retrospective analysis of PHEMS in SWS during lockdown periods and equal time spans in the previous and following years. Differences were tested for statistical significance using the chi-squared test and one-way analysis of variance (ANOVA).</p><p><strong>Results: </strong>The total number of missions showed a substantial drop during the first (-16.6%) and the second (-4.5%) lockdown period compared with the previous year. Next-year periods showed a recovery that was nearly equivalent to the starting point. The first lockdown period was not associated with longer overall mission times. The minutes spent at the scene differed significantly between the first lockdown period (31.1 ± 3.52 min), previous year (28.4 ± 4.84 min), and follow-up period (31.8 ± 0.98 min). During the second lockdown, the overall mission times (71.6 ± 2.91 min), response times in minutes (8.9 ± 0.49 min), and minutes spent at the scene (31.4 ± 2.99 min) were significantly longer. The minutes spent at the scene (32.3 ± 18.68 min) and the overall mission time (69.6 ± 1.92 min) remained significantly longer during the control period.</p><p><strong>Conclusion: </strong>Our data confirm the impact of the SARS-CoV-2 pandemic on German PHEMS. It can be concluded that nationwide lockdown measures led to lasting effects regarding a reduction in the total mission number, transport-on-site released-ratio, and emergency time intervals in the following year, without lockdown restrictions. The lasting effects on the transport-on-site released-ratio and emergency time intervals call for a re-evaluation of the delivery of emergency services during pandemics. These findings can inform future policy decisions and resource allocations to ensure optimal emergency medical services.</p>","PeriodicalId":45096,"journal":{"name":"Open Access Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/4a/oaem-15-325.PMC10516217.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Access Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/OAEM.S425272","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: The COVID-19 pandemic confronted prehospital emergency medical services (PHEMS) with immense challenges. This study aimed to investigate the development of PHEMS mission numbers and times in the COVID-affected region of Southwest Saxony (SWS).

Patients and methods: This was a retrospective analysis of PHEMS in SWS during lockdown periods and equal time spans in the previous and following years. Differences were tested for statistical significance using the chi-squared test and one-way analysis of variance (ANOVA).

Results: The total number of missions showed a substantial drop during the first (-16.6%) and the second (-4.5%) lockdown period compared with the previous year. Next-year periods showed a recovery that was nearly equivalent to the starting point. The first lockdown period was not associated with longer overall mission times. The minutes spent at the scene differed significantly between the first lockdown period (31.1 ± 3.52 min), previous year (28.4 ± 4.84 min), and follow-up period (31.8 ± 0.98 min). During the second lockdown, the overall mission times (71.6 ± 2.91 min), response times in minutes (8.9 ± 0.49 min), and minutes spent at the scene (31.4 ± 2.99 min) were significantly longer. The minutes spent at the scene (32.3 ± 18.68 min) and the overall mission time (69.6 ± 1.92 min) remained significantly longer during the control period.

Conclusion: Our data confirm the impact of the SARS-CoV-2 pandemic on German PHEMS. It can be concluded that nationwide lockdown measures led to lasting effects regarding a reduction in the total mission number, transport-on-site released-ratio, and emergency time intervals in the following year, without lockdown restrictions. The lasting effects on the transport-on-site released-ratio and emergency time intervals call for a re-evaluation of the delivery of emergency services during pandemics. These findings can inform future policy decisions and resource allocations to ensure optimal emergency medical services.

Abstract Image

Abstract Image

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
新冠肺炎大流行对院前紧急医疗服务任务的持久影响。
目的:新冠肺炎大流行给院前急救医疗服务(PHEMS)带来了巨大挑战。本研究旨在调查西南萨克森州受新冠肺炎影响地区(SWS)PHEMS任务数量和时间的发展。患者和方法:这是对前几年和后几年封锁期和同等时间跨度内SWS PHEMS的回顾性分析。使用卡方检验和单因素方差分析(ANOVA)对差异进行统计显著性检验。结果:与前一年相比,第一次(-16.6%)和第二次(-4.5%)封锁期间的任务总数大幅下降。在接下来的一年里,经济出现了几乎与起点相当的复苏。第一次封锁期与更长的总体任务时间无关。在第一次封锁期间(31.1±3.52分钟)、前一年(28.4±4.84分钟)和随访期间(31.8±0.98分钟),在现场花费的分钟数存在显著差异。在第二次封锁期间,总体任务时间(71.6±2.91分钟)、响应时间(8.9±0.49分钟)和在现场花费的时间(31.4±2.99分钟)明显更长。在控制期间,在现场花费的分钟数(32.3±18.68分钟)和总任务时间(69.6±1.92分钟)明显更长。结论:我们的数据证实了严重急性呼吸系统综合征冠状病毒2型疫情对德国PHEMS的影响。可以得出的结论是,在没有封锁限制的情况下,全国范围内的封锁措施导致了任务总数、现场运输释放率和下一年紧急时间间隔的减少,产生了持久的影响。对运输现场释放率和应急时间间隔的持久影响要求重新评估疫情期间应急服务的提供情况。这些发现可以为未来的政策决策和资源分配提供信息,以确保最佳的紧急医疗服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Open Access Emergency Medicine
Open Access Emergency Medicine EMERGENCY MEDICINE-
CiteScore
2.60
自引率
6.70%
发文量
85
审稿时长
16 weeks
期刊最新文献
An Observational Study of Sexual Assaults in French Guiana During 2019-2020 [Letter]. Association of Emergency Department Length of Stay and Hospital Mortality in Patients Under Investigation for COVID-19. Utility of Common Bile Duct Identification on Biliary Ultrasound in Emergency Department Patients. Effect of a Point-of-Care Ultrasound-Driven vs Standard Diagnostic Pathway on 24-Hour Hospital Stay in Emergency Department Patients with Dyspnea-Protocol for A Randomized Controlled Trial. Accuracy of FAST-ED for Assessment Large Vessel Occlusion of Acute Ischemic Stroke in Emergency Department.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1