Ansari Jafari Anahita, Javanmard Babak, Rahavian Amirhossein, Rafiezadeh Ahmad Reza, Borumandnia Nasrin, Hojjati Seyyed Ali, Hosseininia Seyyed Mohammad, Karami Hormoz
Laser Application in Medical Sciences Research Center, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Urology Department, Shohada-e-Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Arch Acad Emerg Med. 2022 May 17;10(1):e37. doi: 10.22037/aaem.v10i1.1563. eCollection 2022.
Medical and surgical priorities were dramatically changed during the COVID-19 pandemic. This study aimed to evaluate the impact of this pandemic on presentation to emergency department (ED) with urologic complaint.
This cross-sectional study was conducted at a tertiary urology referral center in Tehran, Iran. The data of all ED admissions were collected and the frequency of admissions with urologic complain and their outcomes were compared between two 90-day periods (before and during COVID-19 era).
480 ED admissions were studied. The number of patients visiting the ED with urologic complaint during COVID-19 era was significantly lower than the same period in the pre-COVID-19 period (125 vs. 355 admissions; p = 0.01). The mean hospitalization days for patients in the pre-COVID-19 period were significantly higher (5.6 ± 4.4 vs. 3.2 ± 4.2 days; p <0.001). The most common patient complaints before and during COVID-19 period were flank pain (32.7%) and gross hematuria (32.8%), respectively. The number of patients discharged against medical advice in the COVID-19 period was significantly higher than before (22 (17.6%) vs. 10(2.8%); p < 0.001). The number of patients who developed severe complications was significantly higher in the COVID-19 period than in the pre-COVID-19 period (p = 0.001).
During the COVID-19 pandemic we were faced with decreasing frequency of admission with urologic complaint, change in the pattern of referrals, decrease in the duration of hospitalization, increase in the number of patients discharged against medical advice, and increase in the number of cases with irreversible urologic complications or complications requiring surgery due to deferred treatment.
在新冠疫情期间，医疗和外科治疗的优先级发生了巨大变化。本研究旨在评估此次疫情对因泌尿系统疾病主诉前来急诊科就诊的影响。
本横断面研究在伊朗德黑兰的一家三级泌尿外科转诊中心进行。收集了所有急诊科入院患者的数据，并比较了两个90天时间段（新冠疫情之前和期间）泌尿系统疾病主诉入院的频率及其结果。
共研究了480例急诊科入院患者。新冠疫情期间因泌尿系统疾病主诉前来急诊科就诊的患者数量显著低于新冠疫情前同期（125例 vs. 355例入院；p = 0.01）。新冠疫情前患者的平均住院天数显著更高（5.6 ± 4.4天 vs. 3.2 ± 4.2天；p <0.001）。新冠疫情之前和期间最常见的患者主诉分别为胁腹疼痛（32.7%）和肉眼血尿（32.8%）。新冠疫情期间违反医嘱出院的患者数量显著高于之前（22例（17.6%） vs. 10例（2.8%）；p < 0.001）。新冠疫情期间发生严重并发症的患者数量显著高于新冠疫情前（p = 0.001）。
在新冠疫情期间，我们面临着泌尿系统疾病主诉入院频率下降、转诊模式改变、住院时间缩短、违反医嘱出院的患者数量增加，以及由于治疗延迟导致不可逆泌尿系统并发症或需要手术治疗的并发症病例数量增加的情况。
