COVID-19大流行对急诊科就诊的影响

IF 2.1 4区医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2023-09-01 DOI:10.1016/j.auec.2023.01.002

Myeong Namgung , Dong Hoon Lee , Sung Jin Bae , Ho Sub Chung , Keon Kim , Choung Ah Lee , Duk Ho Kim , Eui Chung Kim , Jee Yong Lim , Sang Soo Han , Yoon Hee Choi

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引用次数: 0

摘要

目的本研究比较了新冠肺炎前和新冠肺炎期间的重访率和特征，介绍了新冠肺炎对急诊室重访的影响。方法这项多中心回顾性研究包括18岁以上的患者，他们在新冠肺炎疫情前和新冠肺炎大流行期间到急诊室就诊。根据五个年龄组对重访率进行分析；18-34年、35-49年、50-64年、65-79年和≥80年，三次重访时间间隔；3、9和30天。此外，我们还比较了两个研究期间再次就诊时的诊断和处置情况。结果两个研究阶段的重访率均随年龄的增长而增加，新冠肺炎期间各年龄组的重访比率均较高。新冠肺炎期间，传染病和呼吸道疾病的比例有所下降。新冠肺炎期间，年龄≥80岁的患者的ICU入院率和再访时死亡率低于新冠肺炎之前。结论新冠肺炎期间，两个研究期的再访率均随年龄的增长而增加，在再访时的诊断和处置发生了一些变化。

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The impact of COVID-19 pandemic on revisits to emergency department

Aim

This study presents the impact of COVID-19 on revisits to the emergency department comparing revisit rates and characteristics between the pre-COVID-19 and COVID-19 periods.

Methods

This multi-center retrospective study included patients over 18 years of age who visited emergency departments during the pre-COVID-19 period and the COVID-19 pandemic. The revisit rates were analyzed according to five age groups; 18–34, 35–49, 50–64, 65–79, and ≥ 80 years, and three revisit time intervals; 3, 9, and 30 days. Also, we compared the diagnosis and disposition at revisit between the study periods.

Results

The revisit rates increased with age in both study periods and the revisit rates among all age groups were higher in the COVID-19 period. The proportion of infectious and respiratory diseases decreased during the COVID-19 period. The ICU admission rate and mortality at the revisit among patients aged ≥ 80 years were lower in the COVID-19 period than in the pre-COVID-19 period.

Conclusion

The revisit rates increased with age in both study periods and there were several changes in the diagnosis and disposition at the revisit in the COVID-19 period.

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来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.