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意大利的COVID-19后中风网络:它是否恢复到了大流行前的标准?

Erika Kacerik¹, Francesca Bottega¹, Aida Andreassi²

¹Faculty of Medicine, School of Public Health, University of Vita-Salute San Raffaele, Via Olgettina 60, 20132 Milano, Italy.

Epidemiologia (Basel, Switzerland)

|July 25, 2024

概括

在COVID-19大流行期间,中风诊断较少,但紧急医疗服务运输到急诊室的人数更多. 在此期间,急诊室的患者处理时间也增加了.

科学领域:

神经学神经学
公共卫生公共卫生
医疗保健管理的管理

背景情况:

COVID-19大流行严重影响了医疗保健系统,特别是紧急医疗服务 (EMS) 和急救部门 (ED).
之前的研究指出,在流行病的高峰期,时间敏感的疾病 (如中风) 的流行病学转变.
有限的数据存在于中风护理期间的跨流行病阶段.

研究的目的:

为了分析中风和类似中风综合征的变化,在2019年至2021年期间,在意大利伦巴第省访问EDs.
评估COVID-19大流行对中风患者管理和ED处理时间的影响.

主要方法:

使用区域ED访问注册表 (EUOL) 来获取2019年,2020年和2021年的数据.
分析了每月的中风诊断,EMS运输百分比和出院和住院患者的住院时间 (LOS).

主要成果:

与2019年相比,在疫情期间 (2020-2021) 观察到平均每月中风诊断的显著下降.
在疫情期间,通过EMS车辆运送到ED的患者的百分比显著增加.
停留时间 (LOS) 在ED增加了出院和住院中风患者.

结论:

由于COVID-19大流行,整体中风诊断减少,但中风患者的EMS利用增加.
在疫情期间,急诊室对中风患者的处理时间更长.
这些发现强调了在流行病背景下管理时间依赖的神经紧急情况的不断变化的挑战.

关键词:

在 COVID-19 疫情中,伦巴第地区伦巴第地区紧急情况部门的急救部门.一次性中风中风中风中风中风

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