Where are our patients? Retrospective cohort study of acute medical unit admissions during and prior to theCOVID-19 pandemic

Where are our patients? Retrospective cohort study of acute medical unit admissions during and prior to theCOVID-19 pandemic
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DOI:
10.1111/imj.14983
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发表时间:
2020-08-22
影响因子:
2.1
通讯作者:
Ward, Grantley A.
Ward, Grantley A.
中科院分区:
医学4区
文献类型:
--
作者:
Lange, Peter W.;Gazzard, Meg;Ward, Grantley A.

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在澳大利亚新冠肺炎大流行期间,入院人数大幅下降。这可能是由于患者没有出现急性疾病或在家中处理他们的慢性疾病。我们回顾了在大流行期间和之前在皇家墨尔本医院急性医疗单元住院的队列,发现入院时更严重的不适和更多的并存。这可能会给那些没有出席的人和那些迟到的人带来更糟糕的结果。我们建议开展一项公共卫生活动,鼓励澳大利亚人在身体不适时到医院就诊。
Admissions to hospital have declined markedly during the COVID-19 pandemic in Australia. This may be due to patients not presenting with acute illness or managing their chronic illness at home. We reviewed a cohort admitted to the Acute Medical Unit of the Royal Melbourne Hospital during and before the pandemic and found admissions were more acutely unwell and more comorbid. This may lead to worse outcomes for those not presenting, as well as those presenting late. We recommend a public health campaign to encourage Australians to present to hospital if unwell.