Alternate site surge capacity in times of public health disaster maintains trauma center and emergency department integrity: Hurricane Katrina
Alternate site surge capacity in times of public health disaster maintains trauma center and emergency department integrity: Hurricane Katrina
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DOI：
10.1097/ta.0b013e3180d0a70e
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发表时间：
2007-08-01
影响因子：
--
通讯作者：
Minei, Joseph P.
中科院分区：
文献类型：
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作者：
Eastman, Alexander L.;Rinnert, Kathy J.;Minei, Joseph P.
背景医院的激增能力一直被提倡，以适应医疗保健需求的大幅增长，然而，现有的城市创伤中心和急诊科（TC/ED）面临的障碍，即使在基线患者量提供及时的护理。本研究的目的是描述如何备用网站的医疗激增容量吸收大量的病人，同时尽量减少对常规TC/艾德操作的影响后，立即卡特里娜Hurricane Katrina.Methods：从2005年9月1日至16日，备用网站的医疗保健建立。利用场外空间，达拉斯会议中心医疗单位（DCCMU）成立，以满足日益增长的护理需求。收集数据，并与TC/艾德患者数量进行比较，以评估对现有facility.Results的影响：在研究期间，23,231人因卡特里娜飓风流离失所登记接受疏散服务，在得克萨斯州的达拉斯市。在这些流离失所者中，DCCMU有10，367次紧急或紧急医疗服务。DCCMU的平均每日访视次数（平均值+/- SD）为619 +/- 301次访视，第3天达到峰值（n = 1，125）。没有患者死亡，DCCMU中观察到3.2%（n = 257），只有2.9%（n = 236）需要转运到TC/ED。在同一时期，该地区贫困护理主要提供者（1号医院）的TC/艾德平均就诊次数为346 +/- 36次。使用历史数据从医院1在同一时期（341 +/- 41），有TC/艾德访问的平均数从前一年（p = 0.26）没有显着差异：备用网站医疗激增的能力提供了安全和有效的护理大量涌入的患者寻求紧急和紧急护理。这可保障现有公立医院技合科/艾德科的基础设施和持续运作的完整性。
Background. Hospital surge capacity has been advocated to accommodate large increases in demand for healthcare; however, existing urban trauma centers and emergency departments (TC/EDs) face barriers to providing timely care even at baseline patient volumes. The purpose of this study is to describe how alternate-site medical surge capacity absorbed large patient volumes while minimizing impact on routine TC/ED operations immediately after Hurricane Katrina.Methods: From September 1 to 16, 2005, an alternate site for medical care was established. Using an off-site space, the Dallas Convention Center Medical Unit (DCCMU) was established to meet the increased demand for care. Data were collected and compared with TC/ED patient volumes to assess impact on existing facilities.Results: During the study period, 23,231 persons displaced by Hurricane Katrina were registered to receive evacuee services in the City of Dallas, Texas. From those displaced, 10,367 visits for emergent or urgent healthcare were seen at the DCCMU. The mean number of daily visits (mean +/- SD) to the DCCMU was 619 +/- 301 visits with a peak on day 3 (n = 1,125). No patients died, 3.2% (n = 257) were observed in the DCCMU, and only 2.9% (n = 236) required transport to a TC/ ED. During the same period, the mean number of TC/ED visits at the region's primary provider of indigent care (Hospital 1) was 346 +/- 36 visits. Using historical data from Hospital 1 during the same period of time (341 +/- 41), there was no significant difference in the mean number of TC/ED visits from the previous year (p = 0.26).Conclusions: Alternate-site medical surge capacity provides for safe and effective delivery of care to a large influx of patients seeking urgent and emergent care. This protects the integrity of existing public hospital TC/ED infrastructure and ongoing operations.