Impact of COVID-19 on accident and emergency attendances and emergency and planned hospital admissions in Scotland: an interrupted time-series analysis.
Impact of COVID-19 on accident and emergency attendances and emergency and planned hospital admissions in Scotland: an interrupted time-series analysis.
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DOI：
10.1177/0141076820962447
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发表时间：
2020-11
影响因子：
17.3
通讯作者：
Sheikh A
中科院分区：
文献类型：
--
作者：
Mulholland RH;Wood R;Stagg HR;Fischbacher C;Villacampa J;Simpson CR;Vasileiou E;McCowan C;Stock SJ;Docherty AB;Ritchie LD;Agrawal U;Robertson C;Murray JL;MacKenzie F;Sheikh A
随着严重急性呼吸系统综合征冠状病毒2型（SARS-CoV-2）病毒爆发以及随后2019新型冠状病毒病（COVID-19）在全球蔓延，卫生系统和使用卫生系统的人群面临着前所未有的挑战。我们旨在衡量COVID-19对全国范围内医院护理的影响。研究期间（截至二零二零年一月五日至六月二十八日止数周）涵盖世界卫生组织宣布大流行及英国开始封城。我们进行了一项中断的时间序列分析，以评估这些事件对国家一级医院服务的影响，以及人口统计学，临床专业和国家卫生服务健康委员会。苏格兰，英国。患者接受苏格兰国家卫生服务中心的医院护理。意外及紧急（A&E）就诊人数，以及紧急及计划入院人数，使用2020年每周人数与2018年及2019年相等周数平均人数的相对变动计算。在宣布大流行之前，医院护理的使用率基本上与历史水平一致。随后，所有结果都急剧下降，直到英国封锁，活动开始稳步增加。这一时期的平均降幅为-40.7%（95%置信区间[CI]：−47.7至−33.7），（95% CI：−31.1至−20.4），急诊入院率为−60.9%（95%CI：-66.1至-55.7），与2018-2019年的平均水平相比。所有亚组趋势在结果中大致一致，但在年龄组、专业和地理位置之间存在显著差异。2019冠状病毒病对苏格兰国家卫生服务局的医院护理产生了深远的破坏性影响。这可能对非COVID-19相关疾病产生不利影响，增加了潜在可避免的发病率和死亡率的可能性。需要进一步的研究来阐明这些影响。
Following the outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus and the subsequent global spread of the 2019 novel coronavirus disease (COVID-19), health systems and the populations who use them have faced unprecedented challenges. We aimed to measure the impact of COVID-19 on the uptake of hospital-based care at a national level. The study period (weeks ending 5 January to 28 June 2020) encompassed the pandemic announcement by the World Health Organization and the initiation of the UK lockdown. We undertook an interrupted time-series analysis to evaluate the impact of these events on hospital services at a national level and across demographics, clinical specialties and National Health Service Health Boards. Scotland, UK. Patients receiving hospital care from National Health Service Scotland. Accident and emergency (A&E) attendances, and emergency and planned hospital admissions measured using the relative change of weekly counts in 2020 to the averaged counts for equivalent weeks in 2018 and 2019. Before the pandemic announcement, the uptake of hospital care was largely consistent with historical levels. This was followed by sharp drops in all outcomes until UK lockdown, where activity began to steadily increase. This time-period saw an average reduction of −40.7% (95% confidence interval [CI]: −47.7 to −33.7) in A&E attendances, −25.8% (95% CI: −31.1 to −20.4) in emergency hospital admissions and −60.9% (95% CI: −66.1 to −55.7) in planned hospital admissions, in comparison to the 2018–2019 averages. All subgroup trends were broadly consistent within outcomes, but with notable variations across age groups, specialties and geography. COVID-19 has had a profoundly disruptive impact on hospital-based care across National Health Service Scotland. This has likely led to an adverse effect on non-COVID-19-related illnesses, increasing the possibility of potentially avoidable morbidity and mortality. Further research is required to elucidate these impacts.
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影响因子：
8
作者：
Patriti, Alberto;Baiocchi, Gian Luca;Catarci, Marco
通讯作者：
Catarci, Marco
影响因子：
7.7
作者：
Bernal JL;Cummins S;Gasparrini A
通讯作者：
Gasparrini A
影响因子：
4.8
作者：
Linden, Ariel
通讯作者：
Linden, Ariel
影响因子：
50
作者：
Marijon, Eloi;Karam, Nicole;Jouven, Xavier
通讯作者：
Jouven, Xavier