COVID-19 封锁对妇科急诊入院的影响：一项多中心意大利研究的结果。
The impact of COVID-19 lockdown on admission to gynecological emergency departments: Results from a multicenter Italian study.
机构信息
Department of Medical and Surgical Sciences for Mother, Child and Adult, Azienda Ospedaliero Universitaria Policlinico, University of Modena and Reggio Emilia, Modena, Italy.
Gynecologic and Obstetric Clinic, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy.
出版信息
Int J Gynaecol Obstet. 2020 Oct;151(1):39-42. doi: 10.1002/ijgo.13289. Epub 2020 Jul 17.
OBJECTIVE
To evaluate the impact of the COVID-19 lockdown on admissions to gynecological emergency departments (ED) of three Italian university hospitals with different rates of COVID-19 incidence.
METHODS
A retrospective study was conducted in the gynecological EDs of Modena (Emilia-Romagna), Sassari and Cagliari (Sardinia) regarding all admissions to gynecological EDs during November 1 to 30, 2019, and March 11 to April 9, 2020 (lockdown period).
RESULTS
A total of 691 women (mean age 38.3 ± 14.3 years) who were admitted to the gynecological EDs were included. The relative decrease in women evaluated from March 11 to April 9, 2020, was -56.6% (95% confidence interval [CI] 52.2-61.1). Time spent in the ED was also significantly shorter during this period (P=0.02) in comparison to November 1 to 30, 2019. The most evident decrease was observed for pelvic pain (-68.9% [95% CI 60.3-76.7]; -91 cases). The management of women suggests a more effective use of the ED, with higher rates of hospitalization (P=0.001) and recourse to emergent surgeries (P=0.005) and lower rates of discharge to home (P=0.03).
CONCLUSION
The COVID-19 lockdown greatly reduced the rate of admission to gynecological EDs, but the real emergencies were filtered from the more deferrable ones.
目的
评估 COVID-19 封锁对三家意大利大学医院妇科急诊部（ED）入院人数的影响，这三家医院的 COVID-19 发病率不同。
方法
对摩德纳（艾米利亚-罗马涅）、萨萨里和卡利亚里（撒丁岛）的妇科 ED 进行了一项回顾性研究，纳入 2019 年 11 月 1 日至 30 日和 2020 年 3 月 11 日至 4 月 9 日（封锁期间）所有妇科 ED 的入院人数。
结果
共纳入 691 名女性（平均年龄 38.3±14.3 岁）。与 2020 年 3 月 11 日至 4 月 9 日相比，在此期间评估的女性人数相对减少了 56.6%（95%置信区间 52.2-61.1）。在此期间，ED 停留时间也明显缩短（P=0.02）。与 2019 年 11 月 1 日至 30 日相比，最明显的减少发生在盆腔痛（-68.9%[95%CI 60.3-76.7]；-91 例）。对女性的管理表明 ED 的使用更加有效，住院率更高（P=0.001），急诊手术的比例更高（P=0.005），出院回家的比例更低（P=0.03）。
结论
COVID-19 封锁大大降低了妇科 ED 的入院率，但真正的紧急情况从可延迟的情况中过滤出来。
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