巴尼亚卢卡初级保健中心急诊科的COVID-19

Q4 Medicine Scripta Medica Pub Date : 2022-01-01 DOI:10.5937/scriptamed53-36279
N. Banjac, Ilija Ramić, S. Đokić, Tijana Pejić, Igor Korać, Đorđe Stojisavljević, N. Todorović
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引用次数: 0

摘要

背景/目的:COVID-19是由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的急性病毒性疾病。从2020年3月开始,它被宣布为大流行,目前仍在持续。COVID-19大流行迫使社会各阶层,特别是卫生部门,在变化和恶化的情况下发挥作用,由于病毒的传播和新毒株,导致受感染人数的变化,出现高峰和振荡。本研究的目的是分析2020年3月15日至2021年3月15日期间在巴尼亚卢卡初级保健中心检查的COVID-19阳性/疑似患者的相关数据,其中涉及感染者的发病率、性别和年龄代表性、实验室诊断和临床参数、应用治疗以及送往医院治疗的患者人数。方法:回顾性分析急性呼吸道感染(ARI)门诊和现场检查的COVID-19阳性/疑似患者电子病历的统计数据,获得分析数据。采用Pearson's ch2偶然性检验比较各组观察特征的差异。结果:在2020年3月15日至2021年3月15日期间,巴尼亚卢卡初级卫生保健中心急诊科(ED)的工作人员共检查了3,937名COVID-19阳性患者和疑似COVID-19患者。其中,3601名患者在急诊科接受了检查,336名患者在现场接受了检查。登记人数最多的是2020年11月(768人)。男性居多(55.50%),以20 ~ 50岁患者居多。高热患者占3.10%,低SpO2患者占2.5%,低于90%。14.90%的患者有较高的肌钙蛋白T, 45.50%的患者有较高的d -二聚体。现场69.60%的患者有肺病理改变,33.30%的患者有病理心电图报告。从急性呼吸道感染医院送至巴尼亚卢卡大学临床中心传染病诊所接受进一步诊断或住院治疗的病人有1 191人,从外地送出的病人有258人。结论:为了防止疫情的传播,急诊科对现有空间进行了重组,为急性呼吸道感染和发热患者以及COVID-19疑似患者引入了临时诊所-容器。临床参数的变化取决于新的病毒株,以及年龄分布和感染并发症。
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COVID-19 in the Emergency Department of the Primary Healthcare Centre Banja Luka
Background / Aim: COVID-19 is acute virus disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). It was proclaimed as pandemic starting from March 2020 and is still ongoing. COVID-19 pandemic forced all segments of the society, particularly the health sector, to function in changed and aggravating circumstances and because of the transmission and new strains of the virus it resulted in the change of the number of infected people with peaks and oscillations. Aim of this study was to make analysis of the data related to COVID-19 positive/suspect patients examined in the Primary Healthcare Centre Banja Luka in the period 15 March 2020 - 15 March 2021, which refers to the incidence of the infected persons, sex and age representation, laboratory diagnostics and clinical parameters, applied therapy, as well as the number of patients sent for the hospital treatment. Methods: Data for the analysis were obtained by the retrospective analysis of the statistical data from the electronic medical record of the examined COVID-19 positive/suspect patients in the Outpatient Clinic for Acute Respiratory Infections (ARI) and in the field. Pearson's ch2 test of contingency was used for the comparison of differences of the observed characteristics of the examined groups. Results: Personnel of the Emergency Department (ED) of the Primary Healthcare Centre Banja Luka, in the period 15 March 2020 - 15 March 2021, examined the total of 3,937 COVID-19 positive patients and patients suspect of COVID-19. Out of that number, 3,601 patients were examined in the ED - ARI and 336 patients were examined in the field. The biggest number of patients was registered in November 2020 (768). Male sex prevailed (55.50 %) and patients of 20-50 years of age were most represented. There were 3.10 % of those highly febrile patients and 2.5 % of those with low SpO2 of under 90 %. 14.90 % of patients had higher values of troponin T and 45.50 % of them had higher values of D-dimer. In the field, 69.60 % of patients had pathological changes on lungs and 33.30 % had pathological ECG report. The number of patients sent from the ARI for further diagnostic procedure or hospitalisation to the Clinic for Infectious Diseases of the University Clinical Centre of Banja Luka was 1,191 and 258 patients were sent from the field. Conclusion: For the purpose of preventing the spread of epidemics, the ED reorganised the existing space by introducing temporary clinics - containers for the patients with acute respiratory infections and febrile status, COVID-19 suspects. Clinical parameters changed depending on the new virus strains, as well as on age distribution and infection complications.
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