针对住院平均时间作为控制措施,以减少手术癌症患者的COVID-19医院获得感染
Sarah S Nasr1, Ghada M Sherif2, Maha Abdel Wahab3
1Cancer Epidemiology and Biostatistics Department, National Cancer Institute, Cairo University, Cairo, Egypt. sarah.nasr@nci.cu.edu.eg.
Journal of the Egyptian National Cancer Institute
|November 19, 2023
概括
实施感染控制策略显著减少了癌症患者住院平均时间 (ALOS). 这种改善的ALOS与COVID-19感染的减少相关,即使是在大流行第三波期间.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19大流行严重影响了全球卫生系统,需要紧急风险管理.
- 监测住院平均时间 (ALOS) 对于在疫情期间管理医疗保健能力至关重要.
- 癌症患者是脆弱群体,在公共卫生危机期间需要特别注意.
研究的目的:
- 评估风险评估和管理策略对癌症患者ALOS的影响.
- 为了确定降低ALOS对该患者群体中COVID-19感染率的影响.
主要方法:
- 进行了一项前性队列研究.
- 其中包括1287名癌症患者,他们在2021年1月至6月期间入院于6个外科部门.
- 收集的数据包括患者人口统计,手术状态,入院日期,ALOS和COVID-19感染状态.
主要成果:
- ALOS在几个月之间变化很大,从1月至3月到4月至6月下降 (p < 0.001).
- 在手术科之间没有观察到ALOS的显著差异 (p = 0.423).
- 从3月到6月观察到COVID-19感染的显著线性下降趋势 (p = 0.009),89%的感染发生在此期间.
结论:
- 坚持感染控制干预措施有效降低了癌症患者的ALOS.
- 尽管有第三波,但COVID-19感染的观察到的下降很可能归因于改善的ALOS管理.
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