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10.1089/lap.2020.0465

http://scihub22266oqcxt.onion/10.1089/lap.2020.0465
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32589496!ä!32589496

suck abstract from ncbi


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pmid32589496      J+Laparoendosc+Adv+Surg+Tech+A 2020 ; 30 (9): 1001-1007
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  • The Impact of the Coronavirus Disease 2019 Outbreak on the Attendance of Patients with Surgical Complaints at a Tertiary Hospital Emergency Department #MMPMID32589496
  • Anteby R; Zager Y; Barash Y; Nadler R; Cordoba M; Klang E; Klein Y; Ram E; Gutman M; Horesh N
  • J Laparoendosc Adv Surg Tech A 2020[Sep]; 30 (9): 1001-1007 PMID32589496show ga
  • Introduction: Emergency departments (EDs) during the novel coronavirus disease 2019 (COVID-19) pandemic are perceived as possible sources of infection. The effects of COVID-19 on patients presenting to the hospital with surgical complaints remain uncertain. Methods: A single tertiary center retrospective study analysis compared the ED attendance rate and severity of patients with surgical complaints between March 2020 (COVID-19 outbreak) and pre-COVID-19 periods: February 2020 and the same 2 months in 2019 and 2018. Results: Overall, 6,017 patients were included. The mean daily ED visits of patients with nontrauma surgical complaints in the COVID-19 outbreak period declined by 27%-32% (P value <.01) compared with pre-COVID-19 periods. The log number of confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) cases in Israel in March 2020 was negatively correlated with the number of ED visits (Pearson's r = -0.59, P < .01). The proportion of patients requiring hospitalization increased by up to 8% during the outbreak period (P < .01), and there was a higher proportion of tachycardic patients (20% versus 15.5%, P = .01). The percentage of visits to the ED by men declined by 5% (P < .01). The ED diagnosis distribution significantly changed during COVID-19 (P = .013), with an 84% decrease in the number of patients hospitalized for diverticular disease (P < .05). Conclusion: During the COVID-19 outbreak, the overall number of patients presenting at the ED with surgical complaints decreased significantly, and there was a higher admissions ratio. The extent to which the pandemic affects hospital ED attendance can help health care professionals prepare for future such events. ClinicalTrials.gov ID: NCT04338672.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*epidemiology[MESH]
  • |Emergency Service, Hospital/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Health Personnel[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Intestinal Diseases/epidemiology[MESH]
  • |Israel/epidemiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*epidemiology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]
  • |Sex Factors[MESH]
  • |Surgery Department, Hospital/*statistics & numerical data[MESH]
  • |Tachycardia/epidemiology[MESH]
  • |Tertiary Care Centers/*statistics & numerical data[MESH]


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