Collateral damage of COVID-19 pandemic: Delayed medical care
Collateral damage of COVID-19 pandemic: Delayed medical care
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DOI：
10.1111/jocs.14638
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发表时间：
2020-05-17
影响因子：
1.6
通讯作者：
Masroor, Saqib
中科院分区：
文献类型：
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作者：
Masroor, Saqib
在COVID-19大流行期间，非COVID病症（如阑尾炎、心脏病发作和中风）的急诊室就诊次数大幅减少。病人可能会避免就医，因为他们害怕感染致命的疾病，或者是呆在家里的命令的意外后果。这种延误就医可能导致发病率和死亡率上升，而在评估这一流行病造成的损害程度时没有考虑到这一点。此案例说明了COVID-19大流行造成的“附带损害”的一个例子。一个标准的ST段抬高型心肌梗死，通过及时成功的右冠状动脉闭塞支架植入术治疗，变成了一个危险得多的梗死后室间隔缺损;这一切都是因为一个毫无戒心的病人延误了2天就医。
During the COVID-19 pandemic, emergency room visits have drastically decreased for non-COVID conditions such as appendicitis, heart attack, and stroke. Patients may be avoiding seeking medical attention for fear of catching the deadly condition or as an unintended consequence of stay-at-home orders. This delay in seeking care can lead to increased morbidity and mortality, which has not been figured in the assessment of the extent of damage caused by this pandemic. This case illustrates an example of "collateral damage" caused by the COVID-19 pandemic. What would have been a standard ST-elevation myocardial infarction treated with timely and successful stenting of a dominant right coronary artery occlusion, became a much more dangerous postinfarction ventricular septal defect; all because of a 2-day delay in seeking medical attention by an unsuspecting patient.