The impacts of the COVID-19 outbreak on emergency department visits of surgical patients.
Identifieur interne : 000139 ( Main/Exploration ); précédent : 000138; suivant : 000140The impacts of the COVID-19 outbreak on emergency department visits of surgical patients.
Auteurs : Beslen Göksoy ; Muhammed Tahir Akça ; Ömer Faruk InançSource :
- Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES [ 1306-696X ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Anxiété (épidémiologie), Betacoronavirus (MeSH), Centres de soins tertiaires (statistiques et données numériques), Femelle (MeSH), Hospitalisation (MeSH), Humains (MeSH), Incidence (MeSH), Infections à coronavirus (psychologie), Infections à coronavirus (épidémiologie), Maladies gastro-intestinales (chirurgie), Maladies gastro-intestinales (épidémiologie), Mâle (MeSH), Pandémies (statistiques et données numériques), Pneumopathie virale (psychologie), Pneumopathie virale (épidémiologie), Service hospitalier d'urgences (statistiques et données numériques), Sujet âgé (MeSH), Troubles de stress traumatique aigus (épidémiologie), Turquie (épidémiologie), Études rétrospectives (MeSH).
- MESH :
- chirurgie : Maladies gastro-intestinales.
- psychologie : Infections à coronavirus, Pneumopathie virale.
- statistiques et données numériques : Centres de soins tertiaires, Pandémies, Service hospitalier d'urgences.
- épidémiologie : Anxiété, Infections à coronavirus, Maladies gastro-intestinales, Pneumopathie virale, Troubles de stress traumatique aigus, Turquie.
- Adulte, Adulte d'âge moyen, Betacoronavirus, Femelle, Hospitalisation, Humains, Incidence, Mâle, Sujet âgé, Études rétrospectives.
- Wicri :
- geographic : Turquie.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Anxiety (epidemiology), Betacoronavirus (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (psychology), Emergency Service, Hospital (statistics & numerical data), Female (MeSH), Gastrointestinal Diseases (epidemiology), Gastrointestinal Diseases (surgery), Hospitalization (MeSH), Humans (MeSH), Incidence (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (statistics & numerical data), Pneumonia, Viral (epidemiology), Pneumonia, Viral (psychology), Retrospective Studies (MeSH), Stress Disorders, Traumatic, Acute (epidemiology), Tertiary Care Centers (statistics & numerical data), Turkey (epidemiology).
- MESH :
- geographic , epidemiology : Turkey.
- epidemiology : Anxiety, Coronavirus Infections, Gastrointestinal Diseases, Pneumonia, Viral, Stress Disorders, Traumatic, Acute.
- psychology : Coronavirus Infections, Pneumonia, Viral.
- statistics & numerical data : Emergency Service, Hospital, Pandemics, Tertiary Care Centers.
- surgery : Gastrointestinal Diseases.
- Adult, Aged, Betacoronavirus, Female, Hospitalization, Humans, Incidence, Male, Middle Aged, Retrospective Studies.
Abstract
BACKGROUND
The novel Coronavirus Disease 2019 (COVID-19) formed the basis for emergency department visits. This study aims to evaluate the effects of the pandemic on emergency department visits of surgical patients.
METHODS
The hospital database records of general surgery patients who presented at the emergency department in the period of March 2020-May 2020 (pandemic period) and March 2019-May 2019 (non-pandemic period) were retrospectively analyzed and compared. The primary outcome of this study was the emergency department visit rate of patients requiring a general surgery consultation. Secondary outcomes of this study were patient complaints, diagnosis and treatments, treatment rejection rate, triage category data, the effects of age and gender, and the hospitalization rate.
RESULTS
In this study, 618 patients were included: 265 patients from the pandemic period and 353 patients from the non-pandemic period. The analysis and comparison revealed that during the pandemic period, the presentation rate of female patients was lower than that of male patients (45.5% vs. 55.5%, respectively, p=0.045). The triage category rates of patient visits to the hospital during the pandemic period were higher in yellow and red, and lower in green (p<0.01). The incidence of a surgical pathology finding was higher during the pandemic period (p=0.019). The incidence of diseases related to the gastrointestinal tract was higher during the pandemic period (p=0.011). The rate of open surgery in the pandemic period was higher than that of the non-pandemic period (80.5% vs. 32.7%, respectively; p<0.01). The treatment rejection rate was also higher in the pandemic period compared with the non-pandemic period (20% vs. 3.7%, respectively; p<0.01, r). In addition, the hospitalization period was shorter in the pandemic period (p=0.021).
CONCLUSION
A 25% reduction in the number of surgical patient visits to the emergency department was observed during the COVID-19 outbreak. The biggest decrease was seen in patients with a green triage code and female patients. It is significant to evaluate the effects of the pandemic on surgical patients visited the emergency department to manage the post-epidemic period and to prepare for possible future epidemic periods.
DOI: 10.14744/etd.2020.67927
PubMed: 32946100
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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sort="Inanc, Omer Faruk" uniqKey="Inanc O" first="Ömer Faruk" last="Inanç">Ömer Faruk Inanç</name><affiliation><nlm:affiliation>Department of General Surgery, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, İstanbul-Turkey.</nlm:affiliation><wicri:noCountry code="subField">İstanbul-Turkey</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32946100</idno><idno type="pmid">32946100</idno><idno type="doi">10.14744/etd.2020.67927</idno><idno type="wicri:Area/Main/Corpus">000168</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000168</idno><idno type="wicri:Area/Main/Curation">000168</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000168</idno><idno type="wicri:Area/Main/Exploration">000168</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The impacts of the COVID-19 outbreak on emergency department visits of surgical patients.</title><author><name sortKey="Goksoy, Beslen" sort="Goksoy, Beslen" uniqKey="Goksoy B" first="Beslen" last="Göksoy">Beslen Göksoy</name><affiliation><nlm:affiliation>Department of General Surgery, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, İstanbul-Turkey.</nlm:affiliation><wicri:noCountry code="subField">İstanbul-Turkey</wicri:noCountry></affiliation></author><author><name sortKey="Akca, Muhammed Tahir" sort="Akca, Muhammed Tahir" uniqKey="Akca M" first="Muhammed Tahir" last="Akça">Muhammed Tahir Akça</name><affiliation><nlm:affiliation>Department of General Surgery, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, İstanbul-Turkey.</nlm:affiliation><wicri:noCountry code="subField">İstanbul-Turkey</wicri:noCountry></affiliation></author><author><name sortKey="Inanc, Omer Faruk" sort="Inanc, Omer Faruk" uniqKey="Inanc O" first="Ömer Faruk" last="Inanç">Ömer Faruk Inanç</name><affiliation><nlm:affiliation>Department of General Surgery, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, İstanbul-Turkey.</nlm:affiliation><wicri:noCountry code="subField">İstanbul-Turkey</wicri:noCountry></affiliation></author></analytic><series><title level="j">Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES</title><idno type="ISSN">1306-696X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Anxiety (epidemiology)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (psychology)</term><term>Emergency Service, Hospital (statistics & numerical data)</term><term>Female (MeSH)</term><term>Gastrointestinal Diseases (epidemiology)</term><term>Gastrointestinal Diseases (surgery)</term><term>Hospitalization (MeSH)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (statistics & numerical data)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (psychology)</term><term>Retrospective Studies (MeSH)</term><term>Stress Disorders, Traumatic, Acute (epidemiology)</term><term>Tertiary Care Centers (statistics & numerical data)</term><term>Turkey (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Anxiété (épidémiologie)</term><term>Betacoronavirus (MeSH)</term><term>Centres de soins tertiaires (statistiques et données numériques)</term><term>Femelle (MeSH)</term><term>Hospitalisation (MeSH)</term><term>Humains (MeSH)</term><term>Incidence (MeSH)</term><term>Infections à coronavirus (psychologie)</term><term>Infections à coronavirus (épidémiologie)</term><term>Maladies gastro-intestinales (chirurgie)</term><term>Maladies gastro-intestinales (épidémiologie)</term><term>Mâle (MeSH)</term><term>Pandémies (statistiques et données numériques)</term><term>Pneumopathie virale (psychologie)</term><term>Pneumopathie virale (épidémiologie)</term><term>Service hospitalier d'urgences (statistiques et données numériques)</term><term>Sujet âgé (MeSH)</term><term>Troubles de stress traumatique aigus (épidémiologie)</term><term>Turquie (épidémiologie)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Turkey</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Maladies gastro-intestinales</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Anxiety</term><term>Coronavirus Infections</term><term>Gastrointestinal Diseases</term><term>Pneumonia, Viral</term><term>Stress Disorders, Traumatic, Acute</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emergency Service, Hospital</term><term>Pandemics</term><term>Tertiary Care Centers</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Centres de soins tertiaires</term><term>Pandémies</term><term>Service hospitalier d'urgences</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Gastrointestinal Diseases</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Anxiété</term><term>Infections à coronavirus</term><term>Maladies gastro-intestinales</term><term>Pneumopathie virale</term><term>Troubles de stress traumatique aigus</term><term>Turquie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Betacoronavirus</term><term>Female</term><term>Hospitalization</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Betacoronavirus</term><term>Femelle</term><term>Hospitalisation</term><term>Humains</term><term>Incidence</term><term>Mâle</term><term>Sujet âgé</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Turquie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The novel Coronavirus Disease 2019 (COVID-19) formed the basis for emergency department visits. This study aims to evaluate the effects of the pandemic on emergency department visits of surgical patients.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The hospital database records of general surgery patients who presented at the emergency department in the period of March 2020-May 2020 (pandemic period) and March 2019-May 2019 (non-pandemic period) were retrospectively analyzed and compared. The primary outcome of this study was the emergency department visit rate of patients requiring a general surgery consultation. Secondary outcomes of this study were patient complaints, diagnosis and treatments, treatment rejection rate, triage category data, the effects of age and gender, and the hospitalization rate.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>In this study, 618 patients were included: 265 patients from the pandemic period and 353 patients from the non-pandemic period. The analysis and comparison revealed that during the pandemic period, the presentation rate of female patients was lower than that of male patients (45.5% vs. 55.5%, respectively, p=0.045). The triage category rates of patient visits to the hospital during the pandemic period were higher in yellow and red, and lower in green (p<0.01). The incidence of a surgical pathology finding was higher during the pandemic period (p=0.019). The incidence of diseases related to the gastrointestinal tract was higher during the pandemic period (p=0.011). The rate of open surgery in the pandemic period was higher than that of the non-pandemic period (80.5% vs. 32.7%, respectively; p<0.01). The treatment rejection rate was also higher in the pandemic period compared with the non-pandemic period (20% vs. 3.7%, respectively; p<0.01, r). In addition, the hospitalization period was shorter in the pandemic period (p=0.021).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>A 25% reduction in the number of surgical patient visits to the emergency department was observed during the COVID-19 outbreak. The biggest decrease was seen in patients with a green triage code and female patients. It is significant to evaluate the effects of the pandemic on surgical patients visited the emergency department to manage the post-epidemic period and to prepare for possible future epidemic periods.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32946100</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>13</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1306-696X</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>5</Issue><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES</Title><ISOAbbreviation>Ulus Travma Acil Cerrahi Derg</ISOAbbreviation></Journal><ArticleTitle>The impacts of the COVID-19 outbreak on emergency department visits of surgical patients.</ArticleTitle><Pagination><MedlinePgn>685-692</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.14744/etd.2020.67927</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The novel Coronavirus Disease 2019 (COVID-19) formed the basis for emergency department visits. This study aims to evaluate the effects of the pandemic on emergency department visits of surgical patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The hospital database records of general surgery patients who presented at the emergency department in the period of March 2020-May 2020 (pandemic period) and March 2019-May 2019 (non-pandemic period) were retrospectively analyzed and compared. The primary outcome of this study was the emergency department visit rate of patients requiring a general surgery consultation. Secondary outcomes of this study were patient complaints, diagnosis and treatments, treatment rejection rate, triage category data, the effects of age and gender, and the hospitalization rate.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In this study, 618 patients were included: 265 patients from the pandemic period and 353 patients from the non-pandemic period. The analysis and comparison revealed that during the pandemic period, the presentation rate of female patients was lower than that of male patients (45.5% vs. 55.5%, respectively, p=0.045). The triage category rates of patient visits to the hospital during the pandemic period were higher in yellow and red, and lower in green (p<0.01). The incidence of a surgical pathology finding was higher during the pandemic period (p=0.019). The incidence of diseases related to the gastrointestinal tract was higher during the pandemic period (p=0.011). The rate of open surgery in the pandemic period was higher than that of the non-pandemic period (80.5% vs. 32.7%, respectively; p<0.01). The treatment rejection rate was also higher in the pandemic period compared with the non-pandemic period (20% vs. 3.7%, respectively; p<0.01, r). In addition, the hospitalization period was shorter in the pandemic period (p=0.021).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">A 25% reduction in the number of surgical patient visits to the emergency department was observed during the COVID-19 outbreak. The biggest decrease was seen in patients with a green triage code and female patients. It is significant to evaluate the effects of the pandemic on surgical patients visited the emergency department to manage the post-epidemic period and to prepare for possible future epidemic periods.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Göksoy</LastName><ForeName>Beslen</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of General Surgery, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, İstanbul-Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Akça</LastName><ForeName>Muhammed Tahir</ForeName><Initials>MT</Initials><AffiliationInfo><Affiliation>Department of General Surgery, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, İstanbul-Turkey.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Inanç</LastName><ForeName>Ömer Faruk</ForeName><Initials>ÖF</Initials><AffiliationInfo><Affiliation>Department of General Surgery, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, İstanbul-Turkey.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><VernacularTitle>COVID-19 salgınının cerrahi hastaların acil servis başvuruları üzerine etkisi.</VernacularTitle></Article><MedlineJournalInfo><Country>Turkey</Country><MedlineTA>Ulus Travma Acil Cerrahi Derg</MedlineTA><NlmUniqueID>101274231</NlmUniqueID></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005767" MajorTopicYN="N">Gastrointestinal Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D040701" MajorTopicYN="N">Stress Disorders, Traumatic, Acute</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D062606" MajorTopicYN="N">Tertiary Care Centers</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014421" MajorTopicYN="N" Type="Geographic">Turkey</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate 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last="Inanç">Ömer Faruk Inanç</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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