尼日利亚东南部埃努古一家三级卫生机构儿童门诊在COVID-19大流行之前和期间发现的儿童疾病模式:一项观察性研究

U. Ekwochi, F. N. Ogbuka, S. Mba
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摘要

2019冠状病毒病大流行是全球性威胁。目前,所有的注意力都集中在疾病的定义、表现、治疗和预防上,很少考虑这种疾病对构成健康挑战的其他疾病的流行和模式的影响。本研究是一项回顾性和观察性研究,对埃努古州立大学帕克兰教学医院(ESUTHP)儿童门诊(CHOP)诊所从检测到COVID前5个月到检测到COVID后5个月(COVID时代)的病例模式进行研究。从临床登记册中检索临床数据,包括年龄、性别和诊断,并记录在excel表格中,然后转移到SPSS版本20进行分析。共有9377名儿童到CHOP诊所就诊(COVID-19前为6094名,COVID-19时期为3283名),表明COVID-19时期的总就诊人数显著下降。在研究期间,就诊儿童记录的病例数(疾病和随访)减少了50% (COVID-19前时代,4596例和COVID-19时代,2367例),表明这些病例的患病率在COVID-19期间显着降低。COVID-19时代的病例流行率明显低于COVID-19前时代。观察到的减少可归因于医院在COVID-19时代实施的COVID-19控制措施。因此,建议保持这些措施,以便在COVID-19之后进一步降低这些病例的流行率。
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Pattern of childhood illnesses seen before and during COVID-19 pandemic at children out-patient clinic of a tertiary health facility in Enugu, South-East Nigeria: An observational study
The COVID-19 pandemic is a worldwide threat. Currently, all attention is focused on defining the disease, its presentation, treatment, and prevention, with little thought given to the impact of this disease on the prevalence and pattern of other diseases that pose health challenges. This study was a retrospective and observational study of the pattern of cases presenting at the Children Out-Patient (CHOP) Clinics of Enugu State University Teaching Hospital Parklane (ESUTHP) from five months before COVID detection to five months after COVID detection (COVID era). Clinical data from the clinic register, including age, gender, and diagnosis, was retrieved and recorded in an excel sheet before being transferred to SPSS version 20 for analysis. A total of 9377 children attended CHOP Clinics (6094 in the pre-COVID-19 era and 3283 in the COVID-19 era), representing a significant decrease in total clinic attendance in the COVID-19 era. During the study period, there was a 50% reduction in the number of cases (diseases and followups) documented from children attending clinics (pre-COVID-19 era, 4596 and COVID-19 era, 2367), indicating a significant reduction in the prevalence of these cases during the COVID-19 period. The prevalence of cases seen during the COVID-19 era was significantly lower than in the pre-COVID-19 era. This observed reduction could be attributed to COVID-19 control measures implemented in the hospital during the COVID-19 era. As a result, it is recommended that these measures be maintained in order to further reduce the prevalence of these cases even after COVID-19.
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