Department of Infectious Diseases, Myongji Hospital, Hanyang University College of Medicine, Goyang, Republic of Korea.
Department of Physical Medicine and Rehabilitation, Myongji Hospital, Hanyang University College of Medicine, Goyang, Republic of Korea.
J Hosp Infect. 2020 Dec;106(4):673-677. doi: 10.1016/j.jhin.2020.09.031. Epub 2020 Oct 1.
We assessed infection control efforts by comparing data collected over 20 weeks during a pandemic under a dual-track healthcare system. A decline in non-COVID-19 patients visiting the emergency department by 37.6% (P<0.01) was observed since admitting COVID-19 cases. However, patients with acute myocardial infarction (AMI), stroke, severe trauma and acute appendicitis presenting for emergency care did not decrease. Door-to-balloon time (34.3 (± 11.3) min vs 22.7 (± 8.3) min) for AMI improved significantly (P<0.01) while door-to-needle time (55.7 (± 23.9) min vs 54.0 (± 18.0) min) in stroke management remained steady (P=0.80). Simultaneously, time-sensitive care involving other clinical services, including patients requiring chemotherapy, radiation therapy and haemodialysis did not change.
我们通过比较在双轨医疗体系下大流行期间 20 周收集的数据来评估感染控制工作。自收治 COVID-19 病例以来，急诊就诊的非 COVID-19 患者减少了 37.6%（P<0.01）。然而，因急性心肌梗死（AMI）、中风、严重创伤和急性阑尾炎而接受紧急护理的患者并未减少。AMI 的门到球囊时间（34.3（±11.3）分钟对 22.7（±8.3）分钟）显著改善（P<0.01），而中风管理中的门到针时间（55.7（±23.9）分钟对 54.0（±18.0）分钟）保持稳定（P=0.80）。同时，包括需要化疗、放疗和血液透析的患者在内的其他临床服务的时间敏感护理没有变化。
