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Assessing Strain On Hospital Capacity During A Localized Epidemic Using A Calibrated Hospitalization Microsimulation

机译：使用校准的住院微疗评估局部疫情期间医院容量的应变

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The ability of healthcare systems to provide patient care can become disrupted and overwhelmed during a major epidemic or pandemic. We adapted an existing hospitalization microsimulation of North Carolina to assess the impact of a localized epidemic of a fictitious pathogen on inpatient hospital bed availability in the same locale. As area hospital beds reach capacity, agents are turned away and seek treatment at different hospital locations. We explore how variability in the duration and severity of an epidemic affects hospital capacity in different North Carolina counties. We analyze various epidemic scenarios and provide insights into how many days counties and hospitals would have to prepare for a surge in capacity.

机译：医疗保健系统提供患者护理的能力可能会在主要的流行病或大流行病中被破坏和不堪重负。我们适应了北卡罗来纳州现有的住院微调，以评估本地化的病原体局部疫情对同一地区的住院病院床可用性的影响。由于地区医院床达到容量，代理商被转回并在不同的医院位置寻求治疗。我们探讨了流行病的持续时间和严重程度如何影响不同北卡罗来纳州县的医院能力。我们分析了各种疫情情景，并向有多少天县和医院提供洞察力，以便为能力飙升。

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《Simulation Conference》|2020年|102-110|共9页
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作者
Kasey Jones; Emily Hadley; Sarah Rhea; Eric Lofgren;
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Epidemics; Hospitals; Pandemics; Surge protection; Stakeholders; Surges; Strain;

机译：流行病;医院;流行病;浪涌保护;利益攸关方;浪涌;压力;

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1. Prospective hospital-based case–control study to assess the effectiveness of pandemic influenza A(H1N1)pdm09 vaccination and risk factors for hospitalization in 2009–2010 using matched hospital and test-negative controls [J] . Wiebke Hellenbrand, Pernille Jorgensen, Brunhilde Schweiger, BMC Infectious Diseases . 2012,第1期

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2. Prospective hospital-based case–control study to assess the effectiveness of pandemic influenza A(H1N1)pdm09 vaccination and risk factors for hospitalization in 2009–2010 using matched hospital and test-negative controls [J] . Wiebke Hellenbrand, Pernille Jorgensen, Brunhilde Schweiger, BMC Infectious Diseases . 2012,第1期

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机译：在使用新的扩张型心肌病的患者缓和EPOSTERS1385Longitudinal应变评估加速DENSE sequence1407Simultaneous T1和T2与CABIRIA心脏定量：在4维流动的加速算法初始临床experience1423Head对头比较CMR1502Left心室功能和尺寸由混合心脏正电子发射断层摄影术评价 - 磁性共振：由两个modalities1510Left庭派生左室射血分数和心室体积的个体间的比较，在1.5和3特斯拉评估心血管磁共振 - 免费的年龄和性别effects1514Comparison呼吸心脏MRI径向技术标准的多屏气电影SSFP CMR技术的LV卷和Function1536Self-导航自由呼吸各向同性3D整个心脏相位敏感反转恢复磁共振导航仪没有检测右Ventricu心肌infarction1547Assessment的评估拉尔菌株使用心肌变形恢复半自动技术：初步经验和正常Values1586Tissue跟踪心肌变形分析和预测左室重构急性心肌infarction1589Investigating策略优化31P MRS临床心脏在3T：初始Results1620Quantitative标准的先天缺失的诊断心包心脏磁Resonance1632Widespread组织损伤急性心肌梗死时：证据先进CMR relaxometry1322Computed CT冠状动脉成像与压力心脏磁共振对症的管理吻合血管患者：成本效益研究（战略研究）1339Comparison低与高剂量钆布醇在1.5特斯拉晚钆增强成像的临床可行性，在中间型地贫心脏并发症的预测study1347Multi参数心脏核磁共振的前瞻性德穆尔心血管磁共振的ticenter Study1461Prognostic价值衍生心肌纤维化指标在住院的急性期CMR的心脏移植recipients1523The作用：改变基于CMR-paradigms1542Preoperative比分预测缺血性心脏衰竭patients1555Excellent响应速度外科左心室重建心脏再同步化后心室反应治疗与磁共振imaging1626The ECG导引作为心脏磁共振成像致心律失常性基板的在ST段抬高心肌infarction1340Pathological在风险评估经历在3.0T CMR T1映射的室性早搏contractions1649Comparison和血管造影APPROACH分数区域消融患者的预测左束支传导疾病的患者与非缺血性心肌病相关因素：心血管磁共振study1342Myocardial重塑和纤维化nonischaemic扩张型心肌病：在从在由心血管磁性resonance1622Persistent心肌炎症评估肥厚型心肌病的纤维化和收缩功能障碍之间心血管磁性resonance1411The协会由于心肌内出血景点在再灌注STEMI为先导，以不利的LV重塑 - 从低的多参数mapping1566Semiquantitative分析和高的b值DWI的见解为在心脏MRI检测冠状动脉疾病急性myocarditis1567Value在结节性硬化症complex1578Papillary肌肉初诊收缩期Dysfunction1570Usefulness心脏磁共振检测心肌水肿提供进一步的深入了解肥大心脏：心血管磁共振study1627Diagnostic和CMR定时的临床意义（早期与晚）患者肌钙蛋白阳性的急性冠脉综合征和通畅的冠状动脉：表1。

Assessing Strain On Hospital Capacity During A Localized Epidemic Using A Calibrated Hospitalization Microsimulation

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