How has Covid‐19 pandemic affected crowded emergency services?

Kurt, Nazlı Görmeli; Güneş, Celal

doi:10.1111/ijcp.13624

Cited by 29 publications

(26 citation statements)

References 16 publications

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“…Patients may need to be hospitalised especially when comorbidities exist. We believe that, in the period of restrictions, patients and their relatives were not willing to apply to hospital due to concerns over infection, and so hospitalisations plummeted 8 ; but when they suffered an unmanageable symptom, they visit emergency service, thereby increasing in‐hospital death and mortality rate.…”

Section: Discussionmentioning

confidence: 99%

“…People have avoided visiting emergency services and tried to solve their health problems by themselves. We addressed this point in a previous study and stressed that the quietness of emergency services may possibly be associated with increased mortality and poor prognosis in the future 8 . As of June 1, normalisation steps have begun to be taken, travel bans and curfews have been lifted; and as of July, cinemas, theaters and wedding halls have been re‐opened.…”

Section: Introductionmentioning

confidence: 99%

“…As of September, schools have begun face‐to‐face education in a gradual fashion. Emergency service admissions, which were reduced in number during the period of restrictions due to fear of the pandemic, 8 started to increase again in the period of normalisation. We believe that patients with chronic disorders, whose elective surgical procedures were postponed, who were unable to apply to hospitals and whose follow‐up was seriously interrupted, would present to emergency services with an even worse prognosis.…”

Section: Introductionmentioning

confidence: 99%

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COVID‐19: How do emergency departments fare after normalisation steps?

Kurt

Çamcı

2020

Int J Clin Pract

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Objective: Restrictions imposed for the COVID-19 pandemic and the people's fear of getting infected have caused a significant drop in the number of emergency service admissions. Herein, we aimed to investigate the reflections of our otherwise crowded emergency services' quietness in the period of normalisation. Methodology: Our study retrospectively investigated three groups of patients: the patients who were admitted to the emergency service in the 'Period of Restrictions' when the restrictions were imposed to limit the spread of the COVID-19 infection; the patients who were admitted to the emergency service in the 'Period of Normalisation' when normalisation attempts were made and the restrictions were lifted; and the patients who were admitted to the emergency service in the 'Period of Pre-pandemic Normal' exactly 1 year before the normalisation period, which would reflect the normal functioning of the emergency service at that time. The three groups were compared with respect to the demographic characteristics and patient outcomes (death/hospitalisation/discharge). Results: A total of 69 474 patients were admitted to the emergency service in the 'Period of Pre-pandemic Normal' whereas 21 278 patients were admitted in the 'Period of Restrictions'. The number of emergency service admissions in the 'Period of Restrictions' was significantly lower (P < .01). A total of 72 843 patients were admitted to the emergency service in the 'Period of Normalisation'. There was no statistically significant difference between the 'Period of Pre-pandemic Normal' and the 'Period of Normalisation' in terms of the number of emergency service admissions (P = .127). A total of 9421 (13.5%) patients were hospitalised in the 'Period of Pre-pandemic Normal' and the corresponding figure for the 'Period of Normalisation' was 19 876 (27.2%). A total of 24 (0.03%) patients died in the 'Period of Pre-pandemic Normal', whereas 172 (0.23%) patients died in the 'Period of Normalisation'. The number of patients who were hospitalised and lost in the 'Period of Normalisation' was significantly higher than that of patients who were hospitalised and lost in the 'Period of Pre-pandemic Normal' (P < .01). Conclusion: In the period of COVID-19 pandemic, fear of getting infected and the restrictions imposed to limit the spread of the disease have kept people out of hospitals. We believe that while the restrictions imposed on various activities have prevented the virus from spreading, they also caused the course of non-COVID-19 diseases to worsen and mortality rates to rise. Therefore, we are of the opinion that the public How to cite this article: Görmeli Kurt N, Çamcı M. COVID-19: How do emergency departments fare after normalisation steps?.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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COVID‐19: How do emergency departments fare after normalisation steps?

Kurt

Çamcı

2020

Int J Clin Pract

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“…Following the report of the first case of COVID-19 on December 1, 2019, the virus has spread globally and infected about 26.7 million people worldwide to this date 9 . In our country, the number of cases decreased in March, April, and May 2020 by paying attention to social distance rule, making calls to stay at home, switching to online education system in schools, and the closure of social areas such as cinemas, theaters 7 . However, as of June 1, travel restrictions and curfew have been lifted, and in July, cinemas, theaters and wedding halls have been reopened.…”

Section: Discussionmentioning

confidence: 96%

“…The first case in Turkey was diagnosed on March 10, 2020; with the announcement of the pandemic by the World Health Organization immediately thereafter, various measures have been taken to prevent the spread of the virus in our country 6 . Thanks to the announcement of the early start of summer vacation for schools and transition to online education system, curfew imposed on individuals under the age of 20 and over the age of 65, restrictions imposed on places such as mass entertainment venues, theaters as well as public transport, and "Wear a Mask, Keep Your Distance, Stay Home" calls made by the government, virus spread could be controlled for June-July-August 7 . September and beyond will be months when the number of cases will soar due to lifting of restrictions and re-opening of schools; furthermore, these are the months in which cold coronavirus cases peak.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 and Other Viral Pneumonias

Kurt

2021

Dicle Tıp Dergisi

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Objectıve: Distinguishing COVID-19 pneumonia, which shares common symptoms with other respiratory viruses, from other pneumonia types will be of utmost importance for maintaining the sustainability of health services, preventing long waiting times of patients at emergency services, and isolating. We compared patients with COVID-19 pneumonia and those with NONCOVID-19 pneumonia with a view to distinguishing COVID-19 pneumonia from other pneumonias. Methods:Our study retrospectively reviewed the medical records of patients who were admitted to the emergency service of training and research hospital in Ağrı, Turkey between April 1-July 1, 2020. In our study two groups: patients with COVID-19 pneumonia and those with other pneumonias (non COVID-19) were compared in terms of demographic characteristics, laboratory data, and thoracic computerized tomography (CT) findings.Results: Our study included 201 patients in the non COVID-19 group and 165 patients in the COVID-19 group. An analysis based on the CT findings showed that the rate of ground glass opacities (GGO) was significantly higher in the COVID-19 group (P < 0.01). The rate of isolated lobar or segmental consolidation was significantly higher in the non COVID-19 group (P < 0.01). The lesions had a significantly higher rate of bilateral distribution and peripheral location in the COVID-19 group (P < 0.01). There was no significant difference between the two groups in terms of the mortality rate (P = 0.469). Conclusıon:We believe that in order to differentiate COVID-19 pneumonia from other pneumonias, a rapid thoracic computed tomography scan can be performed in the emergency department to be successfully patient management.

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Surgical emergencies during the COVID-19 pandemic

et al. 2023

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Zusammenfassung Hintergrund Innerhalb weniger Monate hatte sich COVID-19 weltweit verbreitet. Studien konnten zeigen, dass es in diesem Zusammenhang zu einem Rückgang ärztlicher Konsultationen kam. Vor dem Hintergrund neuer Diskussionen über erneute Einschränkungsmaßnahmen bei steigenden COVID-19-Fallzahlen, soll diese Studie die Auswirkungen der COVID-19-Pandemie auf chirurgische Notfälle der Universitätsmedizin Rostock untersuchen und die Fallzahlen denen der Vorjahre gegenüberstellen. Material und Methode Ziel der Studie war es, die Fallzahlen der chirurgischen Notaufnahme der Universitätsmedizin Rostock im Zeitraum 2020 und 2021 denen der letzten beiden Vorjahre (2018, 2019) gegenüberzustellen. Weiterhin erfolgte die Untersuchung des Einflusses der COVID-19-Fallzahlen auf die Fallzahlen der Notaufnahme. Ergebnisse Insgesamt konnten die Daten von 74.936 Patientenfällen in die Studie eingeschlossen werden. Es zeigte sich ein hochsignifikanter Rückgang der chirurgischen Notfälle während der COVID-19-Pandemie (p < 0,001). Diese zeigten eine hochsignifikante negative Korrelation mit den COVID-19-Fallzahlen (p < 0,001). Die Einschränkungen der Bundesregierung hatten direkten Einfluss sowohl auf die COVID-19-Fallzahlen als auch damit verbunden auf die Fallzahlen der Notaufnahme. Schlussfolgerung Es zeigte sich ein direkter Zusammenhang der COVID-19-Fallzahlen auf die Fallzahlen der chirurgischen Notaufnahme. Bei insgesamt schwieriger Personalplanung während einer Pandemie kann dies wichtige Hinweise für ein geeignetes Personalmanagement bei ähnlichen zukünftigen Ereignissen liefern.

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How has Covid‐19 pandemic affected crowded emergency services?

Abstract: Objective: We aimed to investigate the demographic shifts in emergency service admissions, possible measures and room for improvement in emergency services during the Covid-19 pandemic.

Cited by 29 publications

References 16 publications

COVID‐19: How do emergency departments fare after normalisation steps?

COVID‐19: How do emergency departments fare after normalisation steps?

COVID-19 and Other Viral Pneumonias

Surgical emergencies during the COVID-19 pandemic

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