在COVID期间的咨询:大流行对神经外科护理的影响
Benjamen M Meyer1, Bernardo de Andrada Pereira2, James Mamaril-Davis1
1College of Medicine, The University of Arizona College of Medicine-Tucson, Tucson, Arizona, USA.
World neurosurgery
|June 18, 2023
概括
COVID-19大流行改变了神经外科急诊部 (ED) 患者的人口统计. 头骨和脊柱感染增加,而创伤和退行性脊柱病例在疫情期间减少.
科学领域:
- 神经外科 神经外科
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,COVID-19大流行影响了神经外科护理的提供.
- 有限的数据存在于神经外科患者的入院趋势和疫情期间的诊断.
- 了解这些转变对于调整医疗保健服务至关重要.
研究的目的:
- 分析COVID-19大流行对神经外科急诊部 (ED) 患者人口统计学的影响.
- 为了比较疫情之前和期间的患者入院趋势.
主要方法:
- 从2018年3月到2022年3月,收集了神经外科的ED咨询数据.
- 将35个ICD-10代码分为四个类别:创伤,感染,退行性脊柱和控制 (甲状腺下出血/脑瘤).
- 在前两年和大流行期间的两年中,这些类别的患者数量进行了比较.
主要成果:
- 与流行病前水平相比,在流行病期间出现ED的神经外科创伤和退行性脊柱病例减少.
- 在大流行期间,骨和脊髓感染导致ED咨询的增加.
- 对照病例,包括脑瘤和下关节出血,在入院率上没有显著变化.
结论:
- 随着COVID-19大流行,神经外科ED的患者人口统计数据发生了重大变化.
- 神经外科护理中的这些人口变化持续存在,需要持续关注.
- 研究结果强调了在公共卫生危机期间神经外科服务中需要适应性策略.
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