COVID-19大流行对乌干达住院服务利用率和患者治疗结果的影响
Irene Andia-Biraro1,2, Joseph Baruch Baluku3,4, Ronald Olum5
1Makerere University College of Health Sciences, Kampala, Uganda.
Scientific reports
|June 15, 2023
概括
在乌干达,COVID-19大流行减少了住院和诊断测试,增加了住院患者的死亡率. 非洲的卫生系统需要加强,以抵御未来的流行病.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- COVID-19大流行严重影响了全球卫生系统,撒哈拉以南非洲的数据有限.
- 了解疫情对乌干达医疗保健利用和结果的影响至关重要.
研究的目的:
- 为了比较住院患者入院,诊断测试,临床特征和死亡率在乌干达COVID-19大流行之前和期间.
- 为了确定与疫情期间住院患者死亡率增加相关的因素.
主要方法:
- 乌干达基鲁杜国家推医院的回顾性图表审查.乌干达.
- 2019年1月至7月 (大流行前) 和2020年1月至7月 (大流行期间) 的数据比较.
- 分析了3749名住院病人的病历,包括人口统计,诊断和结果.
主要成果:
- 患者入院率下降了6.1%,2020年疟疾,结核病和糖尿病的诊断测试减少.
- 整体住院患者死亡率为17.3%,与流行病入院,年龄较大,艾滋病毒同时感染和转诊状态相关的死亡几率更高.
- 在COVID-19大流行期间入院的患者死亡几率高1.2倍.
结论:
- COVID-19大流行扰乱了住院服务的利用,并与乌干达住院患者死亡率的增加有关.
- 需要进行政策干预,以提高非洲卫生系统对未来流行病的抵御力.
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