在COVID-19时代的急性冠状动脉综合征:使用谷歌趋势的观点和影响
Juan A Quintero-Martinez1, Joaquin Espinoza1, Diego Celli2
1Department of Internal Medicine, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, Florida, USA.
在COVID-19爆发期间,急性冠状动脉综合征 (ACS) 住院患者数量下降,而医院外心脏骤停和谷歌搜索症状数量增加. 这表明谷歌趋势可能有助于预测健康危机期间的患者行为.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 数字流行病学数字流行病学
背景情况:
- 急性冠状动脉综合征 (ACS) 的住院病例在COVID-19大流行开始时有所下降.
- 有限的数据存在于公共在线搜索行为和患者在这一时期的行为之间的关系.
研究的目的:
- 调查谷歌搜索趋势与急性冠状动脉综合征 (ACS) 患者行为在COVID-19最初爆发期间的相关性.
- 分析ACS入院,非医院心脏骤停 (OHCA) 和公共在线搜索的趋势.
主要方法:
- 利用了2019-2020年的非识别数据,包括退伍军人事务医疗保健系统ACS招生和OHCA的NEMSIS公共数据集.
- 分析了使用谷歌趋势对"胸痛"",冠状病毒"",胸部压力"和"医院安全"等术语的每月谷歌搜索量.
- 检查了所有数据点的全国和区域趋势.
主要成果:
- 观察到国家和地区ACS招生人数显著下降.
- 发生了全国性医院外心脏骤停 (OHCA) 的明显增加.
- 在国家和区域范围内,与ACS症状和医院安全相关的谷歌搜索量显著增加.
结论:
- 在大流行期间ACS医院入院减少的原因可能是由于COVID-19感染的恐惧而延迟寻求医疗保健.
- 增加的OHCA活动和公共在线搜索症状和安全性表明,公众行为和医疗保健利用之间存在潜在联系.
- 谷歌趋势显示为预测患者行为和提高对未来公共卫生事件的准备能力的工具,尽管需要进一步的统计验证.
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