Primary care consultations for respiratory tract symptoms during the COVID-19 pandemic: a cohort study including 70,000 people in South West England.
Primary care consultations for respiratory tract symptoms during the COVID-19 pandemic: a cohort study including 70,000 people in South West England.
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在COVID-19大流行期间的呼吸道症状的初级保健咨询：一项队列研究，包括英格兰西南部的70,000人。
DOI：
10.1093/fampra/cmab127
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发表时间：
2022-05-28
期刊：
影响因子：
2.2
通讯作者：
中科院分区：
文献类型：
--
作者：
在大流行期间，呼吸道症状的初级保健咨询，包括COVID-19的识别和管理，尚未具有特征。回顾性队列分析使用电子护理和健康信息分析（CHIA）数据库中常规收集的英格兰南部70,431名18岁以上成年人的记录。将2020年1月1日至7月31日（大流行第一波期间）呼吸道症状咨询的总量和类型（面对面、家访、电话、电子邮件/视频或非工作时间）与2019年同期的同一队列进行比较。描述性统计用于根据社会人口学和临床特征，以及COVID-19诊断和结局（死亡、住院和肺炎）总结咨询。与前一年相比，大流行期间呼吸道症状的总体咨询增加了229%。其中电话咨询增加了250%，视频/电子邮件咨询增加了154%，家访增加了105%，面对面咨询增加了92%。近60%出现呼吸道症状的人接受了COVID-19检测，16%确诊或临床怀疑感染了该病毒。那些有肺炎等并发症、需要住院治疗和死亡的人更有可能被亲自见到。在大流行期间，初级保健大幅度增加了呼吸道症状咨询，以识别和管理COVID-19患者。这些发现应与减少全科医生非covid护理工作量的国家报告相平衡。
Primary care consultations for respiratory tract symptoms including identifying and managing COVID-19 during the pandemic have not been characterized. A retrospective cohort analysis using routinely collected records from 70,431 adults aged 18+ in South England within the Electronic Care and Health Information Analytics (CHIA) database. Total volume and type of consultations (face-to-face, home visits, telephone, email/video, or out of hours) for respiratory tract symptoms between 1 January and 31 July 2020 (during the first wave of the pandemic) were compared with the equivalent period in 2019 for the same cohort. Descriptive statistics were used to summarize consultations by sociodemographic and clinical characteristics, and by COVID-19 diagnosis and outcomes (death, hospitalization, and pneumonia). Overall consultations for respiratory tract symptoms increased by 229% during the pandemic compared with the preceding year. This included significant increases in telephone consultations by 250%, a 1,574% increase in video/email consultations, 105% increase in home visits, and 92% increase in face-to-face consultations. Nearly 60% of people who presented with respiratory symptoms were tested for COVID-19 and 16% confirmed or clinically suspected to have the virus. Those with complications including pneumonia, requiring hospitalization, and who died were more likely to be seen in-person. During the pandemic, primary care substantially increased consultations for respiratory tract symptoms to identify and manage people with COVID-19. These findings should be balanced against national reports of reduced GP workload for non-COVID care.
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DOI：
10.3399/bjgp20x713393
发表时间：
2020-12
期刊：
The British journal of general practice : the journal of the Royal College of General Practitioners
影响因子：
--
作者：
Joy M;Hobbs FR;Bernal JL;Sherlock J;Amirthalingam G;McGagh D;Akinyemi O;Byford R;Dabrera G;Dorward J;Ellis J;Ferreira F;Jones N;Oke J;Okusi C;Nicholson BD;Ramsay M;Sheppard JP;Sinnathamby M;Zambon M;Howsam G;Williams J;de Lusignan S
通讯作者：
de Lusignan S
DOI：
10.1016/s2468-2667(20)30201-2
发表时间：
2020-10
期刊：
The Lancet. Public health
影响因子：
--
作者：
Williams R;Jenkins DA;Ashcroft DM;Brown B;Campbell S;Carr MJ;Cheraghi-Sohi S;Kapur N;Thomas O;Webb RT;Peek N
通讯作者：
Peek N
影响因子：
8.5
作者：
de Lusignan, Simon;Bernal, Jamie Lopez;Hobbs, Richard
通讯作者：
Hobbs, Richard
影响因子：
4.4
作者：
Dambha-Miller, Hajira;Griffin, Simon J.;Hippisley-Cox, Julia
通讯作者：
Hippisley-Cox, Julia
DOI：
10.1016/s0140-6736(16)00620-6
发表时间：
2016-06-04
期刊：
Lancet (London, England)
影响因子：
--
作者：
Hobbs FDR;Bankhead C;Mukhtar T;Stevens S;Perera-Salazar R;Holt T;Salisbury C;National Institute for Health Research School for Primary Care Research
通讯作者：
National Institute for Health Research School for Primary Care Research