在COVID-19国家封锁期间,紧急情况阻碍了入院:区域性审查
A Thaventhiran1,2, N Nazar1, D Balasubramaniam1
1Maidstone and Tunbridge Wells NHS Trust, UK.
Annals of the Royal College of Surgeons of England
|October 1, 2025
概括
在COVID-19封锁期间,患有长期的患者更频繁地出现紧急障碍. 这导致了再入院率的增加,突出了对更好的患者教育和对管理的后续护理的需要.
科学领域:
- 一般外科 整体外科
- 椎间板手术 手术 椎间板手术
- 公共卫生 公共卫生
背景情况:
- 紧急阻塞带有重大临床挑战,与高并发症率和延长恢复相关.
- 国家封锁可能会影响紧急手术入院和患者护理途径.
- 了解这些影响对于未来的流行病准备和服务提供至关重要.
研究的目的:
- 评估COVID-19国家封锁对紧急阻塞入院的影响.
- 分析患者人口统计数据的变化和在锁定期间遵守护理建议.
主要方法:
- 在英格兰的三个COVID-19封锁期间,对紧急阻塞手术的患者记录进行了回顾性审查.
- 对105名符合条件的患者进行主题分析和时间比较.
- 封锁和封锁前 (控制) 组之间的比较.
主要成果:
- 没有观察到患者年龄,美国麻醉学会 (ASA) 等级或住院时间的显著差异.
- 隔离组的患者表现出明显更长的症状持续时间 (1307天与215天相比),主要是由于长期存在的.
- 与控制组相比,封锁组的7天和30天再入院率较高.
结论:
- COVID-19封锁与紧急阻塞的增加呈现有关,通常是长期存在的.
- 由于再入院率较高,需要改进术后后续策略.
- 建议加强患者教育和初级保健转诊,以确保及时管理.
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