Impact of COVID-19 Outbreak on Emergency Visits and Emergency Consultations: A Cross-Sectional Study

İlhan, Buğra; Berikol, Göksu Bozdereli; Doğan, Halil

doi:10.7759/cureus.14052

Cited by 10 publications

(11 citation statements)

References 19 publications

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“…However, both the disease itself and its indirect effects had negative consequences on health systems and patients. Emergency department (ED) presentations of all patients, especially critically ill patients, have decreased during the pandemic period [3]. Also, there have been delays in the admission and treatment of surgical emergencies [4,5].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 outbreak impact on emergency trauma visits and trauma surgery in a level 3 trauma center

et al. 2021

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Background This study aims to compare emergency trauma visits' severity, emergency surgical needs, and characteristics between the pandemic and pre-pandemic periods. Methods This retrospective observational study was conducted in a tertiary training and research hospital between 1 and 30 April 2020 (pandemic group) and compared with the previous year's same dates (pre-pandemic group). Trauma patients aged 18 and over were included in the study. Emergency Severity Index (ESI) levels, trauma surgery needs, and injury characteristics were compared. Results A total of 2097 patients (592 pandemic and 1505 pre-pandemic) were included. There was an approximately 60% reduction in total and daily visits. ESI levels 1 (0.2% vs. 1.4%) and 2 (0.8% vs. 1.9%) patients increased during pandemic period. Trauma surgery needs (1.6% vs. 2.2%), intensive care unit (ICU) admission (0.4% vs. 0.2%), and ward admission (6.3% vs. 7.9%) did not change during pandemic period. Conclusion Despite the decrease in the visit frequency of adult trauma patients during the pandemic period, the needs for trauma surgery, ICU, and ward admission did not change. Trauma teams should continue their duties during the pandemic period.

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Section: Introductionmentioning

confidence: 99%

COVID-19 outbreak impact on emergency trauma visits and trauma surgery in a level 3 trauma center

et al. 2021

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“…The total number of hospitalizations, in this study, for both medical and surgical diseases, was reduced in 2020 compared to 2019, probably due to the effect of the pandemic. In many studies conducted on EDs, a reduction in hospital access was observed, and as a consequence, a reduction of hospitalization rate [16,29]. In a study conducted on the EDs of the Lombardy region (the Italian region with the highest rate of SARS-CoV-2 infection), a severe reduction in access was observed from February 2020 to April 2020 and from October 2020 to December 2020.…”

Section: Discussionmentioning

confidence: 99%

“…During the lockdown period, a general reduction in hospital access for non-COVID-19 patients was observed; hospitalization was reduced for both medical and surgical cases and for conditions requiring intensive care support [15]. In emergency departments (EDs), it was reported that the rate of admission for critical patients was inversely related to the rate of admission for non-critical patients [16]. A clear reduction in hospitalizations for heart diseases during the beginning of the COVID-19 pandemic was observed [17]; the reduced number of hospital admissions has resulted in an increase in out-of-hospital deaths and long-term complications [18].…”

Section: Introductionmentioning

confidence: 99%

In-Hospital Mortality in Non-COVID-19-Related Diseases before and during the Pandemic: A Regional Retrospective Study

Bartolomeo

Giotta

Trerotoli

2021

IJERPH

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Italy was one of the nations most affected by SARS-CoV-2. During the pandemic period, the national government approved some restrictions to reduce diffusion of the virus. We aimed to evaluate changes in in-hospital mortality and its possible relation with patient comorbidities and different restrictive public health measures adopted during the 2020 pandemic period. We analyzed the hospital discharge records of inpatients from public and private hospitals in Apulia (Southern Italy) from 1 January 2019 to 31 December 2020. The study period was divided into four phases according to administrative restriction. The possible association between in-hospital deaths, hospitalization period, and covariates such as age group, sex, Charlson comorbidity index (CCI) class, and length of hospitalization stay (LoS) class was evaluated using a multivariable logistic regression model. The risk of death was slightly higher in men than in women (OR 1.04, 95% CI: 1.01–1.07) and was lower for every age group below the >75 years age group. The risk of in-hospital death was lower for hospitalizations with a lower CCI score. In summary, our analysis shows a possible association between in-hospital mortality in non-COVID-19-related diseases and restrictive measures of public health. The risk of hospital death increased during the lockdown period.

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“…Although the measures were reduced from time to time, these measures were repeated at the peak times of the outbreak. Social restrictions also caused a decrease in hospital admissions due to non-COVID-19 causes (3,4). In the literature, it has been reported that there is a decrease in acute coronary syndrome (5), stroke (6), orthopedic (7,8), and pediatric trauma (9) cases during pandemic.…”

Section: Introductionmentioning

confidence: 99%

The Effects of the COVID-19 Pandemic on Patients with Trauma Presented to the Emergency Department

Çalık

Satılmış

Yavuz

et al. 2022

Preprint

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BACKGROUND: The present study aims to examine the characteristics of patients with trauma who applied to the emergency department in parallel periods before and after the novel Coronavirus Disease 2019 (COVID-19) outbreak and analyze the effects of social change on traumatic injuries.METHODS: In this study, medical records of patients who presented to the emergency departments of seven hospitals operating as a tertiary training and research hospital in Istanbul between March-June 2018, March-June 2019, and March-June 2020 are due to trauma were retrospectively analyzed. The clinical and demographic characteristics of traumatic injuries before and after the pandemic were compared.RESULTS: In our study, 4088 trauma patients' data were reviewed; 1279 in March-June 2018, 1684 in March-June 2019, and 1125 in March-June 2020. When the total number of patients was examined, it was noticed that the number of patients decreased significantly during the COVID-19 pandemic. No significant difference was found between the periods regarding sex and trauma mechanisms of the patients. The mean age was higher in patients admitted in 2020 compared to previous years. In our study, incidences of intracranial hemorrhage, femur fracture, lung injuries, and mortality rates were higher in March-June 2020 compared to previous parallel years. CONCLUSION: In March-June 2020, compared to the previous year, there was a 34% decrease in trauma cases admitted to the emergency department. Albeit no difference was found between the periods regarding trauma mechanisms, the higher mortality in the March-June 2020 period indicates that trauma continues to be one of the major causes of death despite the pandemic.

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Impact of COVID-19 Outbreak on Emergency Visits and Emergency Consultations: A Cross-Sectional Study

Cited by 10 publications

References 19 publications

COVID-19 outbreak impact on emergency trauma visits and trauma surgery in a level 3 trauma center

COVID-19 outbreak impact on emergency trauma visits and trauma surgery in a level 3 trauma center

In-Hospital Mortality in Non-COVID-19-Related Diseases before and during the Pandemic: A Regional Retrospective Study

The Effects of the COVID-19 Pandemic on Patients with Trauma Presented to the Emergency Department

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