Öz
Objective: Coronavirus disease-2019 has resulted in changes in healthcare and management services. One of these changes is related to in patient presentation to emergency departments (ED). This study aimed to investigate the rate of recurrent presentations to an ED during the pandemic period compared to the pre-pandemic period.
Materials and Methods: Patients that presented to the ED of a tertiary hospital again within 72 hours of their first visit were screened from the hospital information management system for the pre pandemic (June 1-November 30, 2019) and pandemic (June 1-November 30, 2020) periods. So, hospitalization rates were compared between the two periods.
Results: In the pre-pandemic period, the number of ED registrations was 67,414, of which 3,463 belonged to recurrent presentations, while in the pandemic period, these numbers were determined as 43,636 and 2,238, respectively. The rate of admission to any hospital ward (n=521, 16.4%) or the intensive care unit (n=56, 1.8%) nearly doubled during the pandemic. Six of these patients died in the ED in the pandemic period, while no death was observed in the pre-pandemic period.
Conclusion: Although there was a decrease in the number of both hospital and ED presentations during the pandemic, an increase was observed in the number of patients with recurrent presentations to the ED. As a result of this patient group postponing visits to the hospital for their acute problems due to the fear of being infected, their need for hospitalization and intensive care follow-up increased.
Anahtar Kelimeler
Pandemic recurrent presentation emergency department COVID-19
Kaynakça
- 1. Rosenbaum L. The Untold Toll - The Pandemic’s Effects on Patients without Covid-19. N Engl J Med 2020; 382: 2368-71.
- 2. Wu CL, Wang FT, Chiang YC, Chiu YF, Lin TG, Fu LF, et al. Unplanned emergency department revisits within 72 hours to a secondary teaching referral hospital in Taiwan. J Emerg Med 2010; 38: 512-7.
- 3. Ahmed AE, AlBuraikan DA, Almazroa HR, Alrajhi MN, ALMuqbil BI, Albaijan MA, et al. Seventy-two-hour emergency department revisits among adults with chronic diseases: a Saudi Arabian study. Ther Clin Risk Manag 2018; 14: 1423-8.
- 4. Trivedy CR, Cooke MW. Unscheduled return visits (URV) in adults to the emergency department (ED): a rapid evidence assessment policy review. Emerg Med J 2015; 32: 324-9.
- 5. Alshahrani M, Katbi F, Bahamdan Y, Alsaihati A, Alsubaie A, Althawadi D, et al. Frequency, Causes, and Outcomes of Return Visits to the Emergency Department Within 72 Hours: A Retrospective Observational Study. J Multidiscip Healthc 2020; 13: 2003-10.
- 6. Abualenain J, Frohna WJ, Smith M, Pipkin M, Webb C, Milzman D, et al. The prevalence of quality issues and adverse outcomes among 72-hour return admissions in the emergency department. J Emerg Med 2013; 45: 281-8.
- 7. Oseran AS, Nash D, Kim C, Moisuk S, Lai PY, Pyhtila J, et al. Changes in hospital admissions for urgent conditions during COVID-19 pandemic. Am J Manag Care 2020; 26: 327-8.
- 8. Chen JY, Chang FY, Lin CS, Wang CH, Tsai SH, Lee CC, et al. Impact of the COVID-19 Pandemic on the Loading and Quality of an Emergency Department in Taiwan: Enlightenment from a Low-Risk Country in a Public Health Crisis. J Clin Med 2021; 10: 1150.
- 9. Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med 2020; 38: 1732-6.
- 10. Kenny JF, Chang BC, Hemmert KC. Factors Affecting Emergency Department Crowding. Emerg Med Clin North Am 2020; 38: 573-87.
- 11. Tangkulpanich P, Yuksen C, Kongchok W, Jenpanitpong C. Clinical Predictors of Emergency Department Revisits within 48 Hours of Discharge; a Case Control Study. Arch Acad Emerg Med 2020; 9: e1.
- 12. Sultanoğlu H, Gamsızkan Z, Cangür Ş. Investigation and Solution Proposals of Repeating Applications in Patients Admitted to the Emergency in a Year. J DU Health Sci Inst 2021; 11: 50-5.
- 13. Chen A, Fielding S, Hu XJ, McLane P, McRae A, Ospina M, et al. Frequent users of emergency departments and patient flow in Alberta and Ontario, Canada: an administrative data study. BMC Health Serv Res 2020; 20: 938.
Öz
Kaynakça
- 1. Rosenbaum L. The Untold Toll - The Pandemic’s Effects on Patients without Covid-19. N Engl J Med 2020; 382: 2368-71.
- 2. Wu CL, Wang FT, Chiang YC, Chiu YF, Lin TG, Fu LF, et al. Unplanned emergency department revisits within 72 hours to a secondary teaching referral hospital in Taiwan. J Emerg Med 2010; 38: 512-7.
- 3. Ahmed AE, AlBuraikan DA, Almazroa HR, Alrajhi MN, ALMuqbil BI, Albaijan MA, et al. Seventy-two-hour emergency department revisits among adults with chronic diseases: a Saudi Arabian study. Ther Clin Risk Manag 2018; 14: 1423-8.
- 4. Trivedy CR, Cooke MW. Unscheduled return visits (URV) in adults to the emergency department (ED): a rapid evidence assessment policy review. Emerg Med J 2015; 32: 324-9.
- 5. Alshahrani M, Katbi F, Bahamdan Y, Alsaihati A, Alsubaie A, Althawadi D, et al. Frequency, Causes, and Outcomes of Return Visits to the Emergency Department Within 72 Hours: A Retrospective Observational Study. J Multidiscip Healthc 2020; 13: 2003-10.
- 6. Abualenain J, Frohna WJ, Smith M, Pipkin M, Webb C, Milzman D, et al. The prevalence of quality issues and adverse outcomes among 72-hour return admissions in the emergency department. J Emerg Med 2013; 45: 281-8.
- 7. Oseran AS, Nash D, Kim C, Moisuk S, Lai PY, Pyhtila J, et al. Changes in hospital admissions for urgent conditions during COVID-19 pandemic. Am J Manag Care 2020; 26: 327-8.
- 8. Chen JY, Chang FY, Lin CS, Wang CH, Tsai SH, Lee CC, et al. Impact of the COVID-19 Pandemic on the Loading and Quality of an Emergency Department in Taiwan: Enlightenment from a Low-Risk Country in a Public Health Crisis. J Clin Med 2021; 10: 1150.
- 9. Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med 2020; 38: 1732-6.
- 10. Kenny JF, Chang BC, Hemmert KC. Factors Affecting Emergency Department Crowding. Emerg Med Clin North Am 2020; 38: 573-87.
- 11. Tangkulpanich P, Yuksen C, Kongchok W, Jenpanitpong C. Clinical Predictors of Emergency Department Revisits within 48 Hours of Discharge; a Case Control Study. Arch Acad Emerg Med 2020; 9: e1.
- 12. Sultanoğlu H, Gamsızkan Z, Cangür Ş. Investigation and Solution Proposals of Repeating Applications in Patients Admitted to the Emergency in a Year. J DU Health Sci Inst 2021; 11: 50-5.
- 13. Chen A, Fielding S, Hu XJ, McLane P, McRae A, Ospina M, et al. Frequent users of emergency departments and patient flow in Alberta and Ontario, Canada: an administrative data study. BMC Health Serv Res 2020; 20: 938.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Acil Tıp |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 24 Sayı: 3 |