Sevinç Can, Tertemiz Kemal Can, Atik Merve, Güler Nurcan, Ulusoy Mustafa, Coşkun Figen, Uyar Nezihe, Ellidokuz Hülya, İtil Oya, Cimrin Arif Hikmet, Uçan Eyup Sabri
Department of Pulmonology, Dokuz Eylül University Hospital, İnciralti, İzmir, Turkey.
Department of Emergency Medicine, Dokuz Eylül University Hospital, İnciralti, İzmir, Turkey.
Turk Thorac J. 2021 Mar;22(2):149-153. doi: 10.5152/TurkThoracJ.2021.20249. Epub 2021 Mar 1.
This study aimed to focus on non-COVID-19 patients during the process when all physicians focused on COVID-19 patients. Patients with pulmonary diseases in the COVID-19 pandemic period were analyzed.
Non-COVID-19 cases who were hospitalized in the pulmonology clinic, outpatients, and patients who applied to the non-COVID-19 emergency service and requested a pulmonology consultation in the period from March 16, 2020 to May 15, 2020 and in the same period of the previous year (i.e., from March 16, 2019 to May 15, 2019) were included in this study.
In the pandemic period, it was found that there was an 84% decrease in outpatient admissions, a 43% decrease in inpatients, and a 75% decrease in emergency services. During the pandemic period, in outpatient setting, male and younger case admissions increased, admissions with chronic obstructive pulmonary disease (COPD), and interstitial lung diseases decreased, whereas the frequency of admission to asthma, pneumonia, and pulmonary thromboembolism increased. In the period of the pandemic, patients with asthma, COPD, and lung cancer were less hospitalized, whereas patients with pulmonary thromboembolism, pneumonia, and pleural effusion were hospitalized more. In non-COVID-19 patient treatments during the pandemic period, usage of a metered dose inhaler increased.
During the COVID-19 pandemic, non-COVID pulmonary pathologies decreased significantly, and there was a change in the profile of the patients. From now on, to be prepared for pandemic and similar extraordinary situations, to organize hospitals for the epidemic, to determine health institutions to which nonepidemic patients can apply, to make necessary plans in order not to neglect the nonepidemic patients, and to develop digital health service methods, especially telemedicine, would be appropriate.
本研究旨在关注在所有医生都专注于新冠肺炎患者的过程中,非新冠肺炎患者的情况。对新冠肺炎大流行期间的肺部疾病患者进行分析。
纳入2020年3月16日至2020年5月15日期间在肺病科门诊住院的非新冠肺炎病例、门诊患者以及申请非新冠肺炎急诊服务并要求肺病咨询的患者,以及上一年同期(即2019年3月16日至2019年5月15日)的同类患者。
在大流行期间,发现门诊入院人数减少了84%,住院患者减少了43%,急诊服务减少了75%。在大流行期间,门诊方面,男性和年轻病例的入院人数增加,慢性阻塞性肺疾病(COPD)和间质性肺疾病的入院人数减少,而哮喘、肺炎和肺血栓栓塞症的入院频率增加。在大流行期间,哮喘、COPD和肺癌患者住院较少,而肺血栓栓塞症、肺炎和胸腔积液患者住院较多。在大流行期间非新冠肺炎患者的治疗中,定量吸入器的使用增加。
在新冠肺炎大流行期间,非新冠肺部疾病显著减少,患者构成发生了变化。从现在起,为应对大流行和类似的特殊情况做好准备,对医院进行疫情防控组织,确定非疫情患者可就诊的医疗机构,制定必要计划以不忽视非疫情患者,并开发数字健康服务方法,尤其是远程医疗,将是合适的。