Analysis of Emergency Department Visits and Hospital Activity during Influenza Season, COVID-19 Epidemic, and Lockdown Periods in View of Managing a Future Disaster Risk: A Multicenter Observational Study.
Analysis of Emergency Department Visits and Hospital Activity during Influenza Season, COVID-19 Epidemic, and Lockdown Periods in View of Managing a Future Disaster Risk: A Multicenter Observational Study.
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DOI：
10.3390/ijerph17228302
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发表时间：
2020-11-10
影响因子：
--
通讯作者：
Ghazali DA
中科院分区：
文献类型：
--
作者：
Casalino E;Choquet C;Bouzid D;Peyrony O;Curac S;Revue E;Fontaine JP;Plaisance P;Chauvin A;Ghazali DA
在一项2018年11月至2020年3月的四家医院前瞻性观察性研究中，对流感、COVID-19和封锁期间内/外科病房（MSW）和重症监护室（ICU）的急诊就诊和急诊入院进行了评估。评估了艾德就诊特征和主要诊断类别。对368，262次急诊就诊的分析显示，流感期间急诊就诊呈显著增加趋势，封锁后呈显著下降趋势。对于医务人员入院人数，流感期间的增长模式之后是COVID-19大流行期间开始的下降，并在封锁期间加剧。ICU入院人数于COVID-19疫情期间大幅上升，其后于封城期间减少。在封锁期间，所有诊断类别均显示出显著下降趋势（在-40.8%至-73.6%之间），但流感样疾病/COVID病例（+31.6%），肺栓塞/深静脉血栓形成（+33.5%）和频繁使用者（+188.0%）除外。目前的研究证实，在流感疫情期间和COVID-19疫情初期，需求有所增加，但在封锁期间，活动有所下降，主要与非COVID情况有关。艾德中ILI病例的症状监测是监测流感和COVID-19的工具，它可以预测艾德的活动以及对MSW和ICU床位的需求。
ED-visits and through-ED admissions to medical/surgical wards (MSW) and intensive care unit (ICU) during influenza, COVID-19 and lockdown periods were evaluated in a four-hospital prospective observational study from November 2018 to March 2020. ED visit characteristics and main diagnostic categories were assessed. Analysis of 368,262 ED-visits highlighted a significantly increasing trend in ED-visits during influenza followed by a significantly decreasing trend after lockdown. For MSW-admissions, a pattern of growth during influenza was followed by a fall that began during COVID-19 pandemic and intensified during the lockdown. For ICU-admissions, a significant rise during the COVID-19 pandemic was followed by diminution during the lockdown period. During lockdown, significantly diminishing trends were shown for all diagnostic categories (between −40.8% and −73.6%), except influenza-like illness/COVID cases (+31.6%), Pulmonary embolism/deep vein thrombosis (+33.5%) and frequent users (+188.0%). The present study confirms an increase in demand during the influenza epidemic and during the initial phase of the COVID-19 epidemic, but a drop in activity during the lockdown, mainly related to non-COVID conditions. Syndromic surveillance of ILI cases in ED is a tool for monitoring influenza and COVID-19, and it can predict ED activity and the need for MSW and ICU beds.
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影响因子：
--
作者：
Jaarsma T;Cameron J;Riegel B;Stromberg A
通讯作者：
Stromberg A
影响因子：
39
作者：
Jeffery, Molly M.;D'Onofrio, Gail;Melnick, Edward R.
通讯作者：
Melnick, Edward R.
影响因子：
6
作者：
Beard, Emma;Marsden, John;West, Robert
通讯作者：
West, Robert
影响因子：
4
作者：
Barnes, Geoffrey D.;Burnett, Allison;Minichiello, Tracy
通讯作者：
Minichiello, Tracy
DOI：
10.1377/hlthaff.2020.00980
发表时间：
2020-11
期刊：
Health affairs (Project Hope)
影响因子：
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作者：
Birkmeyer JD;Barnato A;Birkmeyer N;Bessler R;Skinner J
通讯作者：
Skinner J