The impact of COVID-19 on Emergency Department length of stay for urgent and life-threatening patients.
The impact of COVID-19 on Emergency Department length of stay for urgent and life-threatening patients.
复制标题
DOI：
10.1186/s12913-022-08084-1
复制
发表时间：
2022-05-24
影响因子：
2.8
通讯作者：
Xu, Feng
中科院分区：
文献类型：
--
作者：
Guo, Fengbao;Qin, Yan;Fu, Hailong;Xu, Feng
确定2019冠状病毒病（COVID-19）大流行对复苏领域患者住院时间（LOS）和预后的影响。对苏州大学附属第一医院2019冠状病毒病大流行早期（2020年1月15日至2021年1月14日）复苏区患者的病例数据进行回顾性分析，并与2019冠状病毒病大流行前（2019年1月15日至2020年1月14日）进行比较。收集了患者的信息，包括年龄、性别、住院时间和死亡。采用Wilcoxon秩和检验比较两个时期的LOS差异。采用Fisher精确检验和卡方检验分析患者的预后。进一步分析复苏区不同科室（急诊内科、急诊外科、急诊神经内科和其他科室）的LOS和预后。在总计8278名患者中，4159名（50. 24%）入组了COVID-19大流行期组，4119名（49. 76%）入组了COVID-19前期组。与COVID-19前相比，COVID-19期间的住院时间显著延长（13小时VS 9. 8小时，p <0. 001）。在COVID-19期间，急诊内科（15.3小时VS 11.3小时，p < 0.001）和急诊外科（8.7小时VS 4.9小时，p < 0.001）的LOS均延长，但急诊神经科或其他急诊科的LOS未延长。两个队列之间的死亡率无显著差异（4.8% VS 5.3%，p = 0.341）。COVID-19大流行与复苏区域停留时间显著增加有关，这可能导致复苏区域拥挤。COVID-19疫情对不同科室患者的影响各不相同。对急诊神经科的LOS无显著影响。根据复苏领域的不同部门，COVID-19大流行对患者的预后没有明显影响。
To determine the impact of the Coronavirus disease-2019 (COVID-19) pandemic on the length of stay (LOS) and prognosis of patients in the resuscitation area. A retrospective analysis of case data of patients in the resuscitation area during the early stages of the COVID-19 pandemic (January 15, 2020– January 14, 2021) was performed and compared with the pre-COVID-19 period (January 15, 2019 – January 14, 2020) in the First Affiliated Hospital of Soochow University. The patients’ information, including age, sex, length of stay, and death, was collected. The Wilcoxon Rank sum test was performed to compare the LOS difference between the two periods. Fisher's Exact test and Chi-Squared test were used to analyze the prognosis of patients. The LOS and prognosis in different departments of the resuscitation area (emergency internal medicine, emergency surgery, emergency neurology, and other departments) were further analyzed. Of the total 8278 patients, 4159 (50.24%) were enrolled in the COVID-19 pandemic period group, and 4119 (49.76%) were enrolled pre-COVID-19 period group. The length of stay was prolonged significantly in the COVID-19 period compared with the pre-COVID-19 period (13h VS 9.8h, p < 0.001). The LOS in the COVID-19 period was prolonged in both emergency internal medicine (15.3h VS 11.3h, p < 0.001) and emergency surgery (8.7h VS 4.9h, p < 0.001) but not in emergency neurology or other emergency departments. There was no significant difference in mortality between the two cohorts (4.8% VS 5.3%, p = 0.341). The COVID-19 pandemic was associated with a significant increase in the length of resuscitation area stay, which may lead to resuscitation area crowding. The influence of the COVID-19 pandemic on patients of different departments was variable. There was no significant impact on the LOS of emergency neurology. According to different departments of the resuscitation area, the COVID-19 pandemic didn’t significantly impact the prognosis of patients.
登录
查看更多内容
影响因子：
37.8
作者：
Feske, Steven K.
通讯作者：
Feske, Steven K.
DOI：
10.1136/bmj.n1135
发表时间：
2021-05-24
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Bodilsen J;Nielsen PB;Søgaard M;Dalager-Pedersen M;Speiser LOZ;Yndigegn T;Nielsen H;Larsen TB;Skjøth F
通讯作者：
Skjøth F
DOI：
10.3390/medicina56100512
发表时间：
2020-10-01
期刊：
Medicina (Kaunas, Lithuania)
影响因子：
--
作者：
Ojetti V;Covino M;Brigida M;Petruzziello C;Saviano A;Migneco A;Candelli M;Franceschi F
通讯作者：
Franceschi F
影响因子：
1.6
作者：
Kim HS;Jang TC;Kim GM;Lee SH;Ko SH;Seo YW
通讯作者：
Seo YW
DOI：
10.31729/jnma.4806
发表时间：
2020-02
期刊：
JNMA; journal of the Nepal Medical Association
影响因子：
--
作者：
Simkhada P;Acharya S;Lama R;Dahal S;Lohola N;Thapa A
通讯作者：
Thapa A