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COVID-19 大流行对土耳其儿科眼科急诊患者特征的影响:人口统计学和诊断。

The effect of COVID-19 pandemic on the characteristics of patients presenting to the pediatric ocular emergency department in Türkiye: Demographic and diagnoses.

机构信息

Department of Ophthalmology, Kayseri City Hospital, Kayseri-Türkiye.

出版信息

Ulus Travma Acil Cerrahi Derg. 2022 Dec;29(1):46-51. doi: 10.14744/tjtes.2022.78928.

Abstract

BACKGROUND

This study aims to evaluate how the coronavirus disease 2019 (COVID-19) pandemic has impacted the demographics and diagnoses of patients presenting at a pediatric ophthalmology emergency department (POED) in Türkiye.

METHODS

The electronic medical records of patients <18 years old who presented at the POED from March 15 to May 31, 2020 (first stay-at-home period), and from November 15 to December 31, 2020 (second stay-at-home period), were retrospectively scanned. The demographic data and clinical diagnoses from those periods and the same periods in 2019 were compared.

RESULTS

No significant differences emerged regarding age (p=0.067) or sex (p=0.268) among the 839 pediatric patients who visited the POED in 2019 (n=510) versus 2020 (n=329). Compared with 2019, 50.63% of fewer patients visited the POED in the first stay-at-home period (i.e., 322 vs. 159) and 9.66% fewer visited in the second period (i.e., 188 vs. 170). The diagnoses in 2019 and 2020 were similar, with foreign body being the most common diagnosis, followed by ocular trauma.

CONCLUSION

Amid the COVID-19 pandemic, fewer pediatric patients visited the POED during the first and second stay-at-home periods than during the same periods in 2019, although the difference was less during the second period. Demographic data and diagnoses from year to year, however, were similar. These findings could aid clinicians in developing new strategies and guidelines for POED management in extraordinary situations such as pandemics.

摘要

背景

本研究旨在评估 2019 年冠状病毒病(COVID-19)大流行如何影响土耳其儿科眼科急诊部(POED)就诊患者的人口统计学和诊断。

方法

回顾性扫描了 2020 年 3 月 15 日至 5 月 31 日(第一个居家隔离期)和 2020 年 11 月 15 日至 12 月 31 日(第二个居家隔离期)期间在 POED 就诊的<18 岁患者的电子病历。比较了这两个时期和 2019 年同期的人口统计学数据和临床诊断。

结果

2019 年(n=510)和 2020 年(n=329)在 POED 就诊的 839 名儿科患者中,年龄(p=0.067)或性别(p=0.268)无显著差异。与 2019 年相比,第一个居家隔离期就诊的患者减少了 50.63%(即 322 例比 159 例),第二个居家隔离期就诊的患者减少了 9.66%(即 188 例比 170 例)。2019 年和 2020 年的诊断相似,以眼内异物为最常见的诊断,其次是眼外伤。

结论

在 COVID-19 大流行期间,与 2019 年同期相比,第一个和第二个居家隔离期到 POED 就诊的儿科患者较少,而第二个隔离期的差异较小。然而,每年的人口统计学数据和诊断相似。这些发现可以帮助临床医生在大流行等特殊情况下制定 POED 管理的新策略和指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c93/10198352/dce449188eae/TJTES-29-46-g001.jpg

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