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10.1007/s11739-021-02667-2

http://scihub22266oqcxt.onion/10.1007/s11739-021-02667-2
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33683538!7938273!33683538
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suck abstract from ncbi


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pmid33683538      Intern+Emerg+Med 2021 ; 16 (6): 1683-1690
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  • After the first wave and beyond lockdown: long-lasting changes in emergency department visit number, characteristics, diagnoses, and hospital admissions #MMPMID33683538
  • Morello F; Bima P; Ferreri E; Chiarlo M; Balzaretti P; Tirabassi G; Petitti P; Apra F; Vallino D; Carbone G; Pivetta EE; Lupia E
  • Intern Emerg Med 2021[Sep]; 16 (6): 1683-1690 PMID33683538show ga
  • The first wave (FW) of COVID-19 led to a rapid reduction in total emergency department (ED) visits and hospital admissions for other diseases. Whether this represented a transient "lockdown and fear" phenomenon, or a more persisting trend, is unknown. We divided acute from post-wave changes in ED flows, diagnoses, and hospital admissions, in an Italian city experiencing a FW peak followed by nadir. This multicenter, retrospective, cross-sectional study involved five general EDs of a large Italian city (January-August 2020). Percent changes were calculated versus 2019, using four 14-day periods (FW peak, early/mid/late post-wave). ED visits were 147,446 in 2020, versus 214,868 in 2019. During the FW peak, visits were reduced by 66.4% (P < 0.001). The drop was maximum during daytime (69.8%) and for pediatric patients (89.4%). Critical triage codes were unchanged. Reductions were found for all non-COVID-19 diagnoses. Non-COVID-19 hospital admissions were reduced by 39.5% (P < 0.001), involving all conditions except hematologic, metabolic/endocrine, respiratory diseases, and traumas. In the early, mid, and late post-wave periods, visits were reduced by 25.4%, 25.3% and 23.5% (all P < 0.001) respectively. In the late period, reduction was greater for female (27.9%) and pediatric patients (44.6%). Most critical triage codes were unchanged. Oncological, metabolic/endocrine, and hematological diagnoses were unchanged, while other diagnoses had persistent reductions. Non-COVID-19 hospital admissions were reduced by 12.8% (P = 0.001), 6.3% (P = 0.1) and 12.2% (P = 0.001), respectively. Reductions in ED flows, led by non-critical codes, persisted throughout the summer nadir of COVID-19. Hospital admissions for non-COVID-19 diseases had transient changes.
  • |COVID-19/*epidemiology/*therapy[MESH]
  • |Cardiovascular Diseases/epidemiology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Emergency Service, Hospital/*trends[MESH]
  • |Hospitalization/trends[MESH]
  • |Humans[MESH]
  • |Infection Control/*trends[MESH]
  • |Italy[MESH]
  • |Mental Disorders/epidemiology[MESH]
  • |Myocardial Infarction/epidemiology[MESH]
  • |Patient Admission/*trends[MESH]
  • |Respiratory Tract Diseases/epidemiology[MESH]
  • |Retrospective Studies[MESH]


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