在COVID-19期间住院动态:对疾病趋势和患者结果的洞察
Mahsa Motiei1, Afagh Hassanzadeh Rad1, Hamidreza Badeli1
1Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
PloS one
|April 28, 2025
概括
随着COVID-19大流行,住院模式发生了变化,整体住院人数下降,但增加了瘤和血液疾病等特定疾病. 死亡率保持稳定,而住院时间缩短.
科学领域:
- 医疗保健管理的管理
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 全球范围内,COVID-19大流行严重扰乱了医疗保健系统.
- 了解住院模式的变化对于资源配置和准备工作至关重要.
研究的目的:
- 在COVID-19大流行之前和期间,在各种疾病和医院病房中比较住院和死亡率.
- 为了识别患者人口统计和入院趋势的变化.
主要方法:
- 对17家沙赫里瓦尔医院的医院数据进行了回顾性分析.
- 对抗疫情前的14922名患者 (2017年7月至2020年1月) 和疫情期间的10941名患者 (2020年2月至2022年9月) 的比较.
- 分析包括ICD-10类别,病房分布,患者人口统计,停留时间,再入院和结果.
主要成果:
- 总体而言,在大流行期间入院病例减少了 (14,922 vs 10,941).
- 住院时间显著缩短 (P < 0.001),死亡率没有显著变化 (P = 0.063).
- 病变,血液,神经系统,眼睛,循环,消化,尿生殖,先天性和中毒类别的入院增加,特别是在NICU,PICU,急诊,新生儿和血液病学部门.
结论:
- COVID-19 疫情已明显改变了住院模式.
- 调查结果为医疗保健管理人员提供了洞察力,以优化资源配置并加强对未来健康危机的准备.
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