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封锁期间儿科急诊就诊模式——COVID-19大流行对印度焦特布尔市的影响

Pattern of pediatric emergency visits during lockdown -Impact of COVID-19 pandemic in Jodhpur City, India.

作者信息

Choudhary Bharat, Sharma Devansh, Gupta Manoj Kumar, Singh Kuldeep, Choudhary Yachana

机构信息

Department of Trauma and Emergency (Pediatrics), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

出版信息

J Family Med Prim Care. 2022 Jun;11(6):2377-2380. doi: 10.4103/jfmpc.jfmpc_135_21. Epub 2022 Jun 30.

DOI:10.4103/jfmpc.jfmpc_135_21
PMID:36119321
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9480800/
Abstract

OBJECTIVES

To study the impact of lockdown during novel coronavirus disease-19 (COVID-19) pandemic on Pediatric Emergency visits.

METHODS

In this retrospective study, we compared the data regarding demographic details, triage category, underlying primary organ system involvement and outcomes among pediatric emergency visits of April-May 2019 and 2020. Results are expressed in means and proportions. Chi-square test was applied to compare the proportion in two groups.

RESULTS

We observed decrease in number of patients during lockdown period as compared to previous year (792 vs 506, decrease by 36%). There was significant increase in respiratory ( = 0.001, CI 2.66-11.6), and hematological emergencies ( < 0.001, CI 2.96-9.23) Road traffic accident (RTA) were decreased significantly ( = 0.005, CI 0.6-3.06). Unintentional injuries were comparable to previous year ( = 0.14, CI -0.86-6.19), though children being at home.

CONCLUSION

During lockdown, number of pediatric emergency visits was reduced and also lead to delayed presentation. Parents should be informed about utilizing telemedicine services available during this period and avoid delaying in going to hospitals in emergency conditions.

摘要

目的

研究新型冠状病毒病(COVID-19)大流行期间封锁措施对儿科急诊就诊的影响。

方法

在这项回顾性研究中,我们比较了2019年4月至5月和2020年儿科急诊就诊患者的人口统计学细节、分诊类别、潜在主要器官系统受累情况及结局的数据。结果以均值和比例表示。应用卡方检验比较两组的比例。

结果

我们观察到封锁期间的患者数量较上一年有所减少(792例对506例,减少了36%)。呼吸系统急诊(P = 0.001,可信区间2.66 - 11.6)和血液学急诊显著增加(P < 0.001,可信区间2.96 - 9.23)。道路交通事故(RTA)显著减少(P = 0.005,可信区间0.6 - 3.06)。尽管儿童居家,但意外伤害与上一年相当(P = 0.14,可信区间 - 0.86 - 6.19)。

结论

在封锁期间,儿科急诊就诊数量减少,且导致就诊延迟。应告知家长在此期间利用可用的远程医疗服务,并避免在紧急情况下延迟送医。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a98/9480800/557948567ae9/JFMPC-11-2377-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a98/9480800/557948567ae9/JFMPC-11-2377-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a98/9480800/557948567ae9/JFMPC-11-2377-g001.jpg

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本文引用的文献

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The ongoing indirect effect of the COVID-19 pandemic on a pediatric emergency department.COVID-19 大流行对儿科急诊部门的持续间接影响。
PLoS One. 2021 May 6;16(5):e0251003. doi: 10.1371/journal.pone.0251003. eCollection 2021.
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Impact of the COVID-19 pandemic on the Emergency Department of a tertiary children's hospital.COVID-19 大流行对一家三级儿童医院急诊科的影响。
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新冠疫情对一家三级护理医院儿科急诊科收治情况的影响
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Ital J Pediatr. 2020 Jun 29;46(1):87. doi: 10.1186/s13052-020-00849-w.
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Delayed access or provision of care in Italy resulting from fear of COVID-19.由于对新冠病毒的恐惧,意大利出现了延迟就医或医疗服务供应的情况。
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