在台湾紧急诊所的初始COVID-19爆发期间,中毒流行病学和管理的变化
Lu-Chen Chen1, Chih-Yang Mao1, Chan-Wa Cheong1
1Department of Emergency Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan (R.O.C.).
International journal of general medicine
|June 19, 2025
概括
随着COVID-19大流行,急诊室中毒病例发生了变化,老年患者和更严重的中毒病例出现. 管理受到了影响,显示急诊室停留时间长,但死亡率相似.
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:
- COVID-19大流行重塑了医疗保健,影响了急诊部 (ED) 的演示.
- 台湾的严格措施导致2022年COVID-19爆发延迟,提供了一个独特的研究期.
- 了解大流行对中毒病例的影响对于公共卫生准备至关重要.
研究的目的:
- 评估在台湾COVID-19早期爆发期间,急诊室 (ED) 中毒病例流行病学的变化.
- 评估大流行对中毒患者的管理和结果的影响.
主要方法:
- 一项回顾性队列研究比较了2022年5月至7月的ED中毒病例 (COVID-19早期爆发) 与大流行前的时期 (2018年5月至2019年7月).
- 分析的数据包括人口统计,中毒特征,治疗效率和临床结果.
- 研究地点是台湾的一家高等医疗中心.
主要成果:
- 在大流行期间,中毒病例显著下降 (48.3 /月与95.3 /月的流行前).
- 患者年龄较大 (中位数为48岁与40.5岁),儿科病例较少.
- 严重的中毒 (3-4在严重性得分上) 增加 (14.5%对7.9%),导致更高的输管和ICU入院率.
- 紧急病房停留时间被延长,特别是对于可能感染COVID-19的患者.
结论:
- 早期的COVID-19疫情显著改变了中毒病例的流行病学,严重程度和紧急部门的管理.
- 调查结果强调需要进一步的研究,以告知公共卫生危机期间的干预措施.
- 虽然严重病例和ED持续增加,但死亡率仍与大流行前的水平相当.
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