Abstract
References
- Kilicaslan I, Bozan H, Oktay C, Göksu E. Türkiye’de acil servise başvuran hastaların demografik özellikleri. Turk J Emerg Med. 2005;5(1):5-13.
- Afilalo M, Guttman A, Colacone A, Dankoff J, Tselios C, Beaudet M, et al. Emergency department use and misuse. J Emerg Med. 1995;13(2):259-64.
- Derlet RW, Kinser D, Ray L, Hamilton B, McKenzie J. Prospective identification and triage of nonemergency patients out of an emergency department: a 5-year study. Ann Emerg Med. 1995;25(2):215-23.
- Kose A, Kose B, Oncu MR, Tugrul F. Admission appropriateness and profile of the patients attended to a state hospital emergency department. Eur J Ther. 2011;17(2):57-62.
- Edirne T, Edirne Y, Atmaca B, Keskin S. Yüzüncü yıl üniversitesi tıp fakültesi acil servis hastalarının özellikleri. Van Med J. 2008;15(4):107-11.
- Oktay C, Cete Y, Eray O, Pekdemir M, Gunerli A. Appropriateness of emergency department visits in a Turkish university hospital. Croat Med J. 2003;44(5):585-91.
- Aydin T, Aydin SA, Koksal O, Ozdemir F, Kulac S, Bulut M. Evaluation of features of patients attending the emergency department of Uludag University Medicine Faculty Hospital and emergency department practices/Uludag Universitesi Tip Fakultesi hastanesi acil servisine basvuran hastalarin ozelliklerinin ve acil servis calismalarinin degerlendirilmesi. J Acad Emerg Med. 2010:163-9.
- Wongtanasarasin W, Srisawang T, Yothiya W, Phinyo P. Impact of national lockdown towards emergency department visits and admission rates during the COVID‐19 pandemic in Thailand: a hospital‐based study. Emerg Med Australas. 2021;33(2):316-23.
- Baugh JJ, White BA, McEvoy D, Yun BJ, Brown DF, Raja AS, et al. The cases not seen: patterns of emergency department visits and procedures in the era of COVID-19. Am J Emerg Med. 2021;46:476-81.
- McCaig LF, Burt CW. National Hospital Ambulatory Medical Care Survey: 2002 emergency department summary. Adv Data. 2004(340):1-34. PubMed PMID: 15068333.
- Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, et al. Impact of the COVID-19 pandemic on emergency department visits—United States, January 1, 2019–May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(23):699.
- Butt AA, Kartha A, Asaad N, Azad AM, Bertollini R, Abou-Samra A-B. Impact of COVID-19 upon changes in emergency room visits with chest pain of possible cardiac origin. BMC Res Notes. 2020;13(1):1-4.
- Sung C-W, Lu T-C, Fang C-C, Huang C-H, Chen W-J, Chen S-C, et al. Impact of COVID-19 pandemic on emergency department services acuity and possible collateral damage. Resuscitation. 2020;153:185-6.
- Tsai L-H, Chien C-Y, Chen C-B, Chaou C-H, Ng C-J, Lo M-Y, et al. Impact of the coronavirus disease 2019 pandemic on an emergency department service: experience at the largest tertiary Center in Taiwan. Risk Manag Healthc Policy. 2021:771-7.
- Göksoy B, Akça MT, Inanç ÖF. The impacts of the COVID-19 outbreak on emergency department visits of surgical patients. Ulus Travma Acil Cerrahi Derg. 2020;26(5):685-92.
- Pikoulis E, Koliakos N, Papaconstantinou D, Pararas N, Pikoulis A, Fotios-Christos S, et al. The effect of the COVID pandemic lockdown measures on surgical emergencies: experience and lessons learned from a Greek tertiary hospital. World J Emerg Surg. 2021;16(1):22.
Abstract
Background: This study has been conducted to evaluate the emergency department (ED) admissions during the pandemic period.
Method: The study is a multicentre, retrospective study. ED admissions in two hospitals between April 1st, 2019 and May 31st, 2019 (pre-COVID-19 period); and between April 1st, 2020 and May 31st, 2020 (the period of COVID-19) have been compared.
Result: Among 47888 ED admissions, 22854 (47.7%) females and 25034 (52.3%) males, with a mean age of 40.9±19.6 years have been included in the study. Of all patients, 30.1% (14440) were admitted to the EDs during the pandemic period in 2020. When the processes have been compared, it can be seen that while more laboratory examinations were requested from the EDs in the pre-pandemic period, more radiological examinations were requested during the pandemic period. Patients were consulted approximately 5 times more during the pandemic period than in the previous year. There has been a statistically significant difference between the periods in terms of consultation (p< 0.001). When the patients have been evaluated in terms of hospitalization, it can be seen that 5.1% of the patients were hospitalized in pre-pandemic period and 9.7% of the patients in the pandemic period (p<0.001).
Conclusion: A significant decrease has been observed in the number of ED admissions during the pandemic in both hospitals. The most important reason for this decrease might be that patients prefer not to apply to the ED in case of an illness that can be resolved with a simple intervention and the restrictions applied due to Covid-19.
Keywords
References
- Kilicaslan I, Bozan H, Oktay C, Göksu E. Türkiye’de acil servise başvuran hastaların demografik özellikleri. Turk J Emerg Med. 2005;5(1):5-13.
- Afilalo M, Guttman A, Colacone A, Dankoff J, Tselios C, Beaudet M, et al. Emergency department use and misuse. J Emerg Med. 1995;13(2):259-64.
- Derlet RW, Kinser D, Ray L, Hamilton B, McKenzie J. Prospective identification and triage of nonemergency patients out of an emergency department: a 5-year study. Ann Emerg Med. 1995;25(2):215-23.
- Kose A, Kose B, Oncu MR, Tugrul F. Admission appropriateness and profile of the patients attended to a state hospital emergency department. Eur J Ther. 2011;17(2):57-62.
- Edirne T, Edirne Y, Atmaca B, Keskin S. Yüzüncü yıl üniversitesi tıp fakültesi acil servis hastalarının özellikleri. Van Med J. 2008;15(4):107-11.
- Oktay C, Cete Y, Eray O, Pekdemir M, Gunerli A. Appropriateness of emergency department visits in a Turkish university hospital. Croat Med J. 2003;44(5):585-91.
- Aydin T, Aydin SA, Koksal O, Ozdemir F, Kulac S, Bulut M. Evaluation of features of patients attending the emergency department of Uludag University Medicine Faculty Hospital and emergency department practices/Uludag Universitesi Tip Fakultesi hastanesi acil servisine basvuran hastalarin ozelliklerinin ve acil servis calismalarinin degerlendirilmesi. J Acad Emerg Med. 2010:163-9.
- Wongtanasarasin W, Srisawang T, Yothiya W, Phinyo P. Impact of national lockdown towards emergency department visits and admission rates during the COVID‐19 pandemic in Thailand: a hospital‐based study. Emerg Med Australas. 2021;33(2):316-23.
- Baugh JJ, White BA, McEvoy D, Yun BJ, Brown DF, Raja AS, et al. The cases not seen: patterns of emergency department visits and procedures in the era of COVID-19. Am J Emerg Med. 2021;46:476-81.
- McCaig LF, Burt CW. National Hospital Ambulatory Medical Care Survey: 2002 emergency department summary. Adv Data. 2004(340):1-34. PubMed PMID: 15068333.
- Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, et al. Impact of the COVID-19 pandemic on emergency department visits—United States, January 1, 2019–May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(23):699.
- Butt AA, Kartha A, Asaad N, Azad AM, Bertollini R, Abou-Samra A-B. Impact of COVID-19 upon changes in emergency room visits with chest pain of possible cardiac origin. BMC Res Notes. 2020;13(1):1-4.
- Sung C-W, Lu T-C, Fang C-C, Huang C-H, Chen W-J, Chen S-C, et al. Impact of COVID-19 pandemic on emergency department services acuity and possible collateral damage. Resuscitation. 2020;153:185-6.
- Tsai L-H, Chien C-Y, Chen C-B, Chaou C-H, Ng C-J, Lo M-Y, et al. Impact of the coronavirus disease 2019 pandemic on an emergency department service: experience at the largest tertiary Center in Taiwan. Risk Manag Healthc Policy. 2021:771-7.
- Göksoy B, Akça MT, Inanç ÖF. The impacts of the COVID-19 outbreak on emergency department visits of surgical patients. Ulus Travma Acil Cerrahi Derg. 2020;26(5):685-92.
- Pikoulis E, Koliakos N, Papaconstantinou D, Pararas N, Pikoulis A, Fotios-Christos S, et al. The effect of the COVID pandemic lockdown measures on surgical emergencies: experience and lessons learned from a Greek tertiary hospital. World J Emerg Surg. 2021;16(1):22.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLE |
| Authors | |
| Publication Date | May 31, 2023 |
| Submission Date | March 18, 2023 |
| Published in Issue | Year 2023 Volume: 4 Issue: 2 |
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