COVID-19 大流行对巴塞罗那（西班牙）北部大都市区呼吸系统疾病诊断的影响。
Impact of the COVID-19 pandemic on diagnosis of respiratory diseases in the Northern Metropolitan Area in Barcelona (Spain).
机构信息
Department of Respiratory Medicine, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain; Germans Trias i Pujol Research Institute (IGTP), Badalona, Barcelona, Spain; Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
Directorate for Innovation and Interdisciplinary Cooperation, North Metropolitan Territorial Authority, Catalan Institute of Health, Badalona, Barcelona, Spain; Center for Research in Economy and Health, Pompeu Fabra University, Barcelona, Spain.
出版信息
Med Clin (Barc). 2023 May 12;160(9):392-396. doi: 10.1016/j.medcli.2022.11.021. Epub 2023 Jan 23.
OBJECTIVE
The COVID-19 pandemic has had a great effect on the management of chronic diseases, by limiting the access to primary care and to diagnostic procedures, causing a decline in the incidence of most diseases. Our aim was to analyze the impact of the pandemic on primary care new diagnoses of respiratory diseases.
METHODS
Observational retrospective study performed to describe the effect of COVID-19 pandemic on the incidence of respiratory diseases according to primary care codification. Incidence rate ratio between pre-pandemic and pandemic period was calculated.
RESULTS
We found a decrease in the incidence of respiratory conditions (IRR 0.65) during the pandemic period. When we compared the different groups of diseases according to ICD-10, we found a significant decrease in the number of new cases during the pandemic period, except in the case of pulmonary tuberculosis, abscesses or necrosis of the lungs and other respiratory complications (J95). Instead, we found increases in flu and pneumonia (IRR 2.17) and respiratory interstitial diseases (IRR 1.41).
CONCLUSION
There has been a decrease in new diagnosis of most respiratory diseases during the COVID-19 pandemic.
目的
COVID-19 大流行对慢性病管理产生了重大影响，限制了初级保健和诊断程序的可及性，导致大多数疾病的发病率下降。我们的目的是分析大流行对初级保健新发呼吸道疾病诊断的影响。
方法
进行观察性回顾性研究，以根据初级保健分类描述 COVID-19 大流行对呼吸道疾病发病率的影响。计算大流行前和大流行期间的发病率比值。
结果
我们发现呼吸道疾病的发病率在大流行期间下降（IRR0.65）。当我们根据 ICD-10 比较不同疾病组时，我们发现大流行期间新病例数显著减少，但肺结核、肺脓肿或坏死和其他呼吸道并发症（J95）除外。相反，我们发现流感和肺炎（IRR2.17）和呼吸间质疾病（IRR1.41）的发病率增加。
结论
在 COVID-19 大流行期间，大多数新发呼吸道疾病的诊断有所减少。
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