Medical care of patients in the emergency department of the Military Medical Academy in Belgrade during the epidemic of COVID-19

Jovanovic, Milan; Vukosavljevic, Miroslav; Dinčić, Dragan; Ratković, Nenad; Perišić, Natalija; Ilić, Radoje; Lepic, Toplica; Šuljagić, Vesna; Jadranin, Željko; Rančić, Nemanja

doi:10.2298/vsp200829119j

Cited by 2 publications

(3 citation statements)

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“…The medical triage was based on information obtained from the patients’ initial interview and examination. In case they suspected a potential COVID-19 patient, on the basis of the clinical picture (fever, shortness of breath, chest pain, dry cough, changes in senses of taste and smell, stomach problems), a rapid serological test for COVID-19 was required, as well as an X-ray of the lungs and heart and laboratory analysis (complete blood count, sedimentation, lactate dehydrogenase, C-reactive protein, ferritin, D-dimer) [ 11 ]. Although huge efforts have been made to prevent and control COVID-19, several community-acquired but also healthcare-associated infections in hospitalized patients have been registered.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Predictors of Positive SARS-CoV-2 Polymerase Chain Reaction Test in Three Cohorts: Hospitalized Patients, Healthcare Workers, and Military Population, Serbia, 2020

Šuljagić

Đurić-Petković

Lazić

et al. 2023

IJERPH

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(1) Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its resulting coronavirus disease 2019 (COVID-19) has caused a fast-moving pandemic. Diagnostic testing, aimed to identify patients infected with SARS-CoV-2, plays a key role in controlling the COVID-19 pandemic in different populations. (2) Methods: This retrospective cohort study aimed to investigate predictors associated with positive polymerase chain reaction (pcr) SARS-CoV-2 test results in hospitalized patients, healthcare workers (HCWs), and military personnel (MP) during 2020, before the widespread availability of COVID-19 vaccines. Persons with a positive test result were compared with persons with a negative test result in three cohorts during the study period. (3) Results: A total of 6912 respondents were tested, and 1334 (19.3%) of them had positive PCR SARS-CoV-2 test results. Contact with a known COVID-19 case within 14 days (p < 0.001; OR: 1.48; 95% CI: 1.25–1.76), fever (p < 0.001; OR: 3.66; 95% CI: 3.04–4.41), cough (p < 0.001; OR: 1.91; 95%CI: 1.59–2.30), headache (p = 0.028; OR: 1.24; 95%CI: 1.02–1.50), and myalgia/arthralgia (p < 0.001; OR: 1.99; 95%CI: 1.65–2.42) were independently associated with positive PCR SARS-CoV-2 test results in the cohort of MP. Furthermore, fever (p < 0.001; OR: 2.75; 95% CI: 1.83–4.13), cough (p < 0.001; OR: 2.04; 95%CI: 1.32–3.13), headache (p = 0.008; OR: 1.76; 95%CI: 1.15–2.68), and myalgia/arthralgia (p = 0.039; OR: 1.58; 95%CI: 1.02–2.45) were independently associated with positive PCR SARS-CoV-2 test results in the cohort of HCWs. Moreover, independent predictors of positive PCR SARS-CoV-2 test results in hospitalized patients were contact with a known COVID-19 case within 14 days (p < 0.001; OR: 2.56; 95%CI: 1.71–3.83), fever (p < 0.001; OR: 1.89; 95%CI: 1.38–2.59), pneumonia (p = 0.041; OR: 1.45; 95%CI: 1.01–2.09), and neurological diseases (p = 0.009; OR: 0.375; 95%CI: 0.18–0.78). (4) Conclusions: According to data gathered from cohorts of hospitalized patients, HCWs, and MP, before the widespread availability of COVID-19 vaccines in Serbia, we can conclude that predictors of positive PCR SARS-CoV-2 test results in MP and HCWs were similar. Accurate estimates of COVID-19 in different population groups are important for health authorities.

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Section: Discussionmentioning

confidence: 99%

Epidemiological Predictors of Positive SARS-CoV-2 Polymerase Chain Reaction Test in Three Cohorts: Hospitalized Patients, Healthcare Workers, and Military Population, Serbia, 2020

Šuljagić

Đurić-Petković

Lazić

et al. 2023

IJERPH

Self Cite

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“…These infectious diseases affected emergency room visits [6][7][8][9]. There were several studies that evaluated the pattern of ED visits during the period of COVID-19 outbreak, and these showed various patterns [1,2,[10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

“…The emphasis on basic personal hygiene, such as wearing masks and washing hands immediately after the outbreak of COVID-19, was similar across countries. However, since each country had a different outbreak pattern, quarantine policies such as social distancing, stay at home orders, restrictions on the number of people allowed to gather, and business closures, varied greatly in each country [1,2,11,16,17].…”

Section: Introductionmentioning

confidence: 99%

Changes in epidemiology of patients visiting emergency departments during the early COVID-19 pandemic period

2024

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Infectious disease outbreaks have a great influence on the use of emergency departments (EDs). The purpose of this study was to analyze the effect of the early coronavirus disease outbreak (COVID-19) on ED visits, to be able to more effectively use ED resources during infectious disease outbreaks. This was a retrospective observational study conducted in three tertiary EDs. We defined the COVID-19 period as 01 December 2019, to 30 April 2020, and the control periods were defined as the same period in 2018 and 2019. All patients who visited the EDs during the study period were included. We collected visitor data on the total number, demographics, clinical data, vital signs, acuity level, cause of visit, disposition, time of visit and diagnostic code. A total of 180,192 patients were enrolled in this study. During the COVID-19 period, the number of ED visits decreased significantly. This decline was significant since mid-February when the number of COVID-19 patients surged nationwide. The proportion of critical patients and admission rate increased while the proportion of non-emergency patients decreased significantly from February (p < 0.001). The proportion of night-time ED visits decreased significantly from March. During the COVID-19 period and pre-COVID-19 period, the top three diagnosis areas were “abdominal and pelvis pain” “fever of other and unknown origin” and “open wound in the head” and remained unchanged. “Influenza because of an identified seasonal influenza virus” decreased during the study period. The study showed the number and characteristics of ED visits changed during the COVID-19 period compared with those of pre-COVID-19 periods.

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Medical care of patients in the emergency department of the Military Medical Academy in Belgrade during the epidemic of COVID-19

Abstract: nema

Cited by 2 publications

References 3 publications

Epidemiological Predictors of Positive SARS-CoV-2 Polymerase Chain Reaction Test in Three Cohorts: Hospitalized Patients, Healthcare Workers, and Military Population, Serbia, 2020

Epidemiological Predictors of Positive SARS-CoV-2 Polymerase Chain Reaction Test in Three Cohorts: Hospitalized Patients, Healthcare Workers, and Military Population, Serbia, 2020

Changes in epidemiology of patients visiting emergency departments during the early COVID-19 pandemic period

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