Pandemi Döneminde ve Pandemi Öncesi Dönemde Acil Servise Başvuran Hastaların Karşılaştırılması

Yıl 2021, Cilt: 8 Sayı: 3, 195 - 198, 28.12.2021

Ömer Doğan Alataş Kemal Gökçek

https://doi.org/10.47572/muskutd.844037

Cited By: 2

Öz

Yeni koronavirüs enfeksiyonu (COVID-19) ilk olarak Çin'in Wuhan kentinde Aralık 2019'da ortaya çıkıp daha sonra tüm dünyaya yayıldı. Çalışmamızda COVID-19 pandemisi sırasında acil servise başvuran hastalıkları belirlemeyi ve bir önceki yıl aynı dönemde başvuran hastalıklarla karşılaştırmayı amaçladık. Mart-Nisan-Mayıs 2019 tarihleri ile Mart-Nisan-Mayıs 2020 tarihlerinde Muğla Sıtkı Koçman Üniversitesi Eğitim ve Araştırma Hastanesi Acil Servise gelen ve yatışı yapılan hastalar çalışmaya alınmıştır. 2019 ve 2020 yılı aynı aylarında acil servise başvuran hasta sayısı 2019 yılında 31534 iken bu sayı 2020 yılında 14323’tür. Hastaları yıllara göre 2 gruba ayırdığımızda; 2020 yılında 2019 yılına göre enfeksiyon hastalıkları servisine, göğüs hastalıkları servisine, kardiyoloji servisine yatış anlamlı artmıştır (sırasıyla p<0.001, p=0.012, p<0.001). 2020 yılında 2019 yılına göre göğüs cerrahi servisine, kadın doğum servisine, kulak burun boğaz servisine, nöroloji servisine, ortopedi servisine, üroloji servisine yatış anlamlı azalmıştır (sırasıyla p<0.001, p=0.001, p=0.010, p<0.001, p=0.005). Sonuç olarak pandemi sırasında Covid-19 yayılmasını önlemek için alınan tedbirler, acil servis başvurularını önemli ölçüde azaltmasına rağmen hastaneye yatış sayısı artmıştır. Özellikle pandemi döneminde akut koroner sendromlu ve stroke ile gelen hasta sayısının artmış olması AKS ve stroke düşünülen hastalarda daha dikkatli olmamızı ve hızlı müdahaleyi gerektirir. 

Anahtar Kelimeler

Acil Servis, Covid-19, Pandemi

Comparison of Patients Admitted to The Emergency Department During and Before the Pandemic Period

Öz

The new coronavirus infection (COVID-19) first appeared in Wuhan, China in December 2019 and then spread around the world. In our study, we aimed to determine the diseases that presented to the emergency department during the COVID-19 pandemic and to compare them with the diseases that presented in the same period of the previous year. Patients, who were admitted to the Emergency Department of Muğla Sıtkı Koçman University Training and Research Hospital between March-April-May 2019 and March-April-May 2020, were included in the study. While the number of patients admitted to the emergency department in the same months of 2019 and 2020 was 31534 in 2019, this number was 14323 in 2020. When we divide the patients into 2 groups according to years; Admission to the infection service, chest diseases service and cardiology service increased significantly in 2020 compared to 2019 (p<0.001, p=0.012, p<0.001, respectively). Admission to thoracic surgery service, obstetrics service, otolaryngology service, neurology service, orthopedic service, urology service decreased significantly in 2020 compared to 2019 (p<0.001, p=0.001, p=0.010, p<0.001, p=0.005, respectively). As a result, the measures taken to prevent the spread of Covid-19 during the pandemic significantly reduced emergency department admissions, but increased the number of hospitalizations. The increased number of patients with acute coronary syndrome (ACS) and stroke, especially during the pandemic period, requires us to be more careful and perform rapid intervention in patients with ACS and suspected stroke. 

Anahtar Kelimeler

Emergency Department, Covid-19, Pandemic

Kaynakça

• 1. Jin YH, Cai L, Cheng ZS, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019‐nCoV) infected pneumonia (standard version). Mil Med Res. 2020; 7: 4.
• 2. Ng OT, Marimuthu K, Chia PY, et al. SARS‐CoV‐2 infection among travelers returning from Wuhan, China. N Engl J Med. 2020; 382: 1476-8.
• 3. Phelan AL, Katz R, Gostin LO. The novel coronavirus originating in Wuhan, China: challenges for Global Health governance. JAMA. 2020; 323: 709.
• 4. Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus‐infected pneumonia. N Engl J Med. 2020; 382: 1199-207.
• 5. https://en.wikipedia.org/wiki/COVID-19_pandemic_in_Turkey
• 6. Garcia S, Albaghdadi MS, Meraj PM, et al. Reduction in ST‐segment elevation cardiac catheterization laboratory activations in the United States during COVID‐19 pandemic. J Am Coll Cardiol. 2020;75:2871-2.
• 7. Solomon MD, McNulty EJ, Rana JS, et al. The COVID‐19 pandemic and the incidence of acute myocardial infarction [Epub May 19, 2020]. N Eng J Med. 2020; 383:691-3.
• 8. Bhatt AS, Moscone A, McElrath EE, et al. Declines in hospitalizations for acute cardiovascular conditions during the COVID‐19 pandemic: a multicenter tertiary care experience. J Am Coll Cardiol. 2020;20:35393-6.
• 9. Gogia S, Newton‐Dame R, Boudourakis L, et al. COVID‐19 X‐curves: illness hidden, illness deferred [Epub May 29, 2020]. N Eng J Med Catalyst. 2020.
• 10. Metzler B, Siostrzonek P, Binder RK, et al. Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID‐19: the pandemic response causes cardiac collateral damage. Eur Heart J. 2020;41:1852-3.
• 11. Kansagra AP, Goyal MS, Hamilton S, et al. Collateral effect of COVID‐19 on stroke evaluation in the United States [Epub May 8, 2020]. N Eng J Med. 2020;383(4):400-1.
• 12. Lange SJ, Ritchey MD, Goodman AB, et al. Potential indirect effects of the COVID‐19 pandemic on use of emergency departments for acute life‐threatening conditions—United States, January–May. Am J Transplant. 2020;69(25):795–800.
• 13. Görmeli Kurt N, Güneş C. How Has Covid-19 Pandemic Affected Crowded Emergency Services? Int J Clin Pract. 2020 Dec;74(12):e13624.