COVID-19 流行病对紧急部门招生和结果的影响
Jagannath Tiwari1, Pramod Paudel1, Sujan Adhikari1
1Bharatpur Hospital, Bharatpur, Chitwan, Nepal.
Journal of Nepal Health Research Council
|July 25, 2023
概括
在COVID-19大流行期间,总体来说,急诊室的访问减少了,但精神疾病和动物咬伤的数量增加了. 在此期间,死亡率也在上升.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 紧急医疗 紧急医疗
背景情况:
- 由于COVID-19的流行,急诊室 (ED) 的入院情况发生了重大变化.
- 了解这些变化对于优化医院资源配置和改善患者治疗结果至关重要.
研究的目的:
- 分析COVID-19流行病对急诊室入院和患者结果的影响.
- 为了比较大流行前的ED利用率与大流行初期的使用率.
主要方法:
- 采用了横截面的回顾性研究设计.
- 来自尼泊尔Bharatpur医院的数据,涵盖了四个月的疫情前 (2019年3月24日至7月21日) 与疫情前四个月 (2020年3月24日至7月21日) 的数据进行了比较.
主要成果:
- 总体而言,急诊室的入院人数下降,女性,儿童 (0-14岁) 和达利特人口 (p<0.0001) 显著减少.
- 由于急性腹部,动物/昆虫咬伤,精神疾病以及中毒/药物过量服用的住院病例显著增加 (p<0.0001).
- 在大流行期间,转诊,违背医疗建议离开和死亡的几率明显更高.
结论:
- 在COVID-19大流行期间,紧急部门的利用率下降.
- 创伤,胃肠道,呼吸道,神经,肌肉骨和冠状动脉疾病的住院病例减少,而精神疾病,糖尿病,高血压和动物/昆虫咬伤的病例增加.
- 在大流行期间,总体死亡率的显著增加被观察到.
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