ANALYSIS OF CONDITIONS REQUIRED FOR ORGANIZATION AND EMERGENCY PLANNING OF MEDICAL CARE TO INJURED ON THE ROADS OF KAZAKHSTAN
Background. The access to medical care to injured in road traffic accidents (RTA) on highways requires a serious and insightful organization, considering all possible conditions. Despite the introduction of the service of highway medical rescue points (HMRP), the death rate as a result of road accidents on the republican highways does not tend to decrease. The process of improving the work of the emergency response service should be considered along with the factors affecting the safe movement on the highways.
Aim: to analyze the conditions for the effective operation of emergency medical services on the highways of Kazakhstan.
Materials and methods. The analysis conducted based on data of the reports of the State Institution "Center for Disaster Medicine" of the Ministry of Emergency Situations for 2019-2020, the Department of the Committee on Legal Statistics and Special Accounts of the General Prosecutor's Office of the RK, the Bureau of National Statistics of the RK. The predictive model for the effective the emergency response conducted with ROC - analysis (Receiver operating characteristic) was applied with a cut-off threshold for intensive indicators.
Results. Mortality rates in 2019-2020 as a result of traffic accidents on highways were 9.7 and 7.3 per 100,000 population, respectively, and have a direct medium and high correlation with population density in the region (R= 0.68 and 0.71 respectively), the regression coefficient was 1.6 (p=0.00). Differences between the indicators of 2019 -2020 were not established (t-test p=0.44). Comparative ROC analysis at cutoffs of 4 HMRP and 2 HMRP per 100,000 population showed an area under the curve of 0.70 (p=0.03) and 0.61 (p=0.044).
Conclusion. For the efficient operation of the emergency response service to road accidents, it is necessary to improve the calculations on the number and zone of responsibility of HMRP. The data of analytical reports allow to carry out an analysis of demand in HMRP, amount with respect to population density. To calculate the certain number of emergency response, the data required include on the state of the roadway by region for every 10 km of the route, data on the age and technical condition of the vehicle by region, data on the density of car traffic by region with respect to season and time of day.
Assem K. Sissenova1, Zaituna G. Khamidullina1, https://orcid.org/0000-0002-0902-5269
Gulsum A. Kokisheva3, Svetlana B. Abdrashitova3, Gulnoza U. Aldabekova1,3,
Assel Zh Khassenova2, https://orcid.org/0000-0002-2328-6924, Aigul A. Ismailova1
1 NJSC «Medical University of Astana», Nur-Sultan city, Republic of Kazakhstan;
2 NJSC «Asfendiyarov Kazakh National Medical University», Almaty city, Republic of Kazakhstan;
3 Multifunctional clinical hospital №3, Nur-Sultan city, Republic of Kazakhstan.
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Sissenova A.K., Khamidullina Z.G., Kokisheva G.A., Abdrashitova S.B., Aldabekova G.U., Khassenova А.Zh., Ismailova A.A. Analysis of conditions required for organization and emergency planning medical care to injured on the roads of Kazakhstan // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 2, pp. 48-56. doi 10.34689/SH.2022.24.2.006Related publications:
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