When fear backfires: Emergency department accesses during the Covid-19 pandemic.
When fear backfires: Emergency department accesses during the Covid-19 pandemic.
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DOI：
10.1016/j.healthpol.2020.10.006
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Paolillo C
中科院分区：
文献类型：
--
作者：
Garrafa E;Levaggi R;Miniaci R;Paolillo C
世界范围内急诊部门（ED）的增加导致效率低下，但也表明其重要性。冠状病毒（Covid-19）的爆发可以研究患者对感染传播消息的反应，这可能会导致人们担心ED不再安全。我们研究了布雷西亚（意大利受Covid-19影响最严重的省份之一）一家大型教学医院在大流行期间（从宣布第一例病例到大流行爆发，再到急性期结束后的几个月）急诊室的使用情况，以研究患者对急诊室不再安全的消息的反应。我们分析了分诊代码，到达急诊科的方式，以及与胸腹疼痛相关的访问，以评估谁是最气馁的。在第一次感染的消息传出后，访问立即急剧减少。在封锁期间，进入医院病房的人数减少了；这可能意味着，由于这一决定，一些患者的健康状况可能会下降，死亡风险可能会增加。6月底，急诊科的使用率和医院病房的入院率仍然低于平时。对传染的恐惧以及呼吁Covid-19患者不要直接使用ED，也可能阻碍了迫切的卫生需求。
The increase in access to Emergency Departments (ED) worldwide causes inefficiencies, but also signals its importance. The Coronavirus (Covid-19) outbreak allows to study the reactions of patients to the news about the spreading of the infection, which may have generated the fear that ED was no longer safe. We study access to ED of a large teaching hospital in Brescia - one of the most hit provinces in Italy by Covid-19 - during the pandemic (from the announcement of the first cases to the explosion of the pandemic, to months after end of the acute phase) to study how patients reacted to the news that ED could no longer be a safe place. We analyse triage code, mode of arrival to ED, and accesses related to chest and abdominal pain, to evaluate who was discouraged most. Accesses have drastically reduced immediately after the news of the first contagion. During the lockdown accesses and admissions to hospital ward have decreased; this may mean that some patients may have suffered reduced health or increased mortality risks because of this decision. At the end of June accesses to ED and admissions to hospital ward are still lower than usual. Fear of contagion and appeals not to use ED directly by Covid-19 patients may have discouraged access also for pressing health need.
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