Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Hainan Center for Disease Control and Prevention, Haikou 570110, China.
Int J Environ Res Public Health. 2022 Oct 20;19(20):13572. doi: 10.3390/ijerph192013572.
This article investigates the impact of COVID-19 lockdown and regular epidemic prevention and control after lifting lockdown on asthma-related hospital and outpatient visits in Yichang. Data on the general outpatient department (GOPD), emergency department (ED) and intensive care unit (ICU) visits for asthma from 15 November 2019 to 21 May 2020 and the corresponding from 2018 to 2019 were collected from eight tertiary hospitals in municipal districts. The controlled interrupted time series (CITS) analysis was used to investigate the level and long-term trend changes of weekly asthma visits during lockdown and regular epidemic prevention and control, and stratified by type of visits and age. A total of 9347 asthma-related hospital and outpatient visits were analyzed. The CITS showed that after the implementation of lockdown, the weekly visits of asthma patients immediately decreased by 127.32 ( = 0.002), and the level of GOPD and ED/ICU visits immediately decreased significantly. After implementation of regular prevention, the level and trend of overall weekly visits changed insignificantly compared with the lockdown period. The weekly visits of GOPD adults immediately increased by 51.46 ( < 0.001), and the trend of ED/ICU adults decreased by 5.06 ( = 0.003) visits per week compared with lockdown period. The COVID-19 lockdown in Yichang was related to the decrease in hospital and outpatient visits for asthma. After the implementation of subsequent regular prevention and control measure, only the GOPD visits of adults increased compared with lockdown period.
这篇文章调查了 COVID-19 封锁和封锁解除后常规疫情防控对宜昌市哮喘相关住院和门诊就诊的影响。从 2019 年 11 月 15 日至 2020 年 5 月 21 日，从 8 家市级三级医院收集了普通门诊（GOPD）、急诊（ED）和重症监护病房（ICU）哮喘就诊的一般数据，以及 2018 年至 2019 年同期的相应数据。采用控制中断时间序列（CITS）分析来调查封锁和常规疫情防控期间每周哮喘就诊的水平和长期趋势变化，并按就诊类型和年龄进行分层。共分析了 9347 例哮喘相关的住院和门诊就诊。CITS 显示，封锁实施后，哮喘患者每周就诊量立即减少了 127.32（ = 0.002），GOPD 和 ED/ICU 就诊量水平立即显著下降。常规预防实施后，与封锁期相比，整体每周就诊量的水平和趋势变化不显著。与封锁期相比，GOPD 成人每周就诊量立即增加了 51.46（ < 0.001），ED/ICU 成人每周就诊量的趋势下降了 5.06（ = 0.003）次。宜昌市的 COVID-19 封锁与哮喘住院和门诊就诊量的减少有关。实施后续常规防控措施后，仅与封锁期相比，成人 GOPD 就诊量增加。
