The Impact of the Covid-19 Outbreak on Emergency Room Attendances of Surgical Patients
The Impact of the Coronavirus Disease 2019 (Covid-19) Outbreak on Emergency Room Attendances of Surgical Patients at a Tertiary Medical Center
調査の概要
詳細な説明
Since December 2019, when the novel coronavirus disease (Covid-19) spread throughout the world, data have been needed on the effects of the pandemic on various aspects of healthcare systems. Recommendations for social distancing and quarantine decrees made by local governments, alongside the general public fear from the spread of the virus, are presumed to have markedly affected the trends in hospitals visits. Understanding the exact nature of the effect is critical for better anticipating and preparing health systems in the event of future outbreaks and in the post outbreak period. Additionally, deferring hospitals visits can potentially put patients at increased risk for morbidity and mortality, especially in postsurgical patients. Evaluating the impact of the pandemic on patient volume can guide decision-making in future scenarios.
Previous infectious disease outbreaks have been shown to impact ED volumes: The US Hantavirus outbreak in 1993 led to a 2-fold increase in ED visits; Escherichia coli 0157:H7 outbreak in Washington state in 1993 increased ED visits by 17%; However, the 2003 SARS outbreaks in Hong Kong, Taiwan, and Toronto reduced tertiary care ED visits by up to 47 percent.
研究の種類
入学 (予想される)
連絡先と場所
研究場所
-
-
-
Ramat Gan、イスラエル
- 募集
- Sheba Medical Center
-
コンタクト:
- Roi Anteby, MD
- 電話番号:+972545882207
- メール:roi.anteby@sheba.health.gov.il
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- All patients visiting the ER of Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
Exclusion Criteria:
- Patients less than 18 years of age
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
---|---|
Pandemic Period
Patients who presented to the emergency department at our medical institute Sheba Medical Center between January 1 - March 31 in 2020.
|
Exposure: the novel coronavirus disease (Covid-19) outbreak
|
Pre Pandemic Period
Patients who presented to the emergency department at our medical institute Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019,
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
時間枠 |
---|---|
Rates of emergency visits needing surgical consult
時間枠:January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
|
January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
|
The ratio of severe presentations to non-severe presentations
時間枠:January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
|
January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
|
二次結果の測定
結果測定 |
時間枠 |
---|---|
The impact of age on ED attendance rates
時間枠:January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
|
January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
|
Differences in ED surgical visits (in terms of capacity and severity) of surgical patients depending on the presentation and the co morbidity
時間枠:January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
|
January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
|
協力者と研究者
スポンサー
出版物と役立つリンク
一般刊行物
- Heiber M, Lou WY. Effect of the SARS outbreak on visits to a community hospital emergency department. CJEM. 2006 Sep;8(5):323-8. doi: 10.1017/s148180350001397x.
- Chen WK, Cheng YC, Chung YT, Lin CC. The impact of the SARS outbreak on an urban emergency department in Taiwan. Med Care. 2005 Feb;43(2):168-72. doi: 10.1097/00005650-200502000-00010.
- Anteby R, Zager Y, Barash Y, Nadler R, Cordoba M, Klang E, Klein Y, Ram E, Gutman M, Horesh N. The Impact of the Coronavirus Disease 2019 Outbreak on the Attendance of Patients with Surgical Complaints at a Tertiary Hospital Emergency Department. J Laparoendosc Adv Surg Tech A. 2020 Sep;30(9):1001-1007. doi: 10.1089/lap.2020.0465. Epub 2020 Jun 23.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (予想される)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- SMC-20-7078-YZ-CTIL
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
一般外科の臨床試験
-
Dong Yangわからない腹腔鏡補助下手術 | 切開を行わない全腹腔鏡手術(Natural Orifice Transluminal Endoscopic Surgery、NOSES)中国
COVID-19 Pandemicの臨床試験
-
Raphael SerreauAssistance Publique - Hôpitaux de Paris; University Hospital, Paris; François Rabelais University完了
-
University of PennsylvaniaPublic Health Management Corporation完了
-
Kanuni Sultan Suleyman Training and Research HospitalAyşegül Bestel; İbrahim Polat; Merve Aldıkaçtıoğlu Talmaç完了
-
Hospital Moinhos de VentoPfizer; Universidade Federal do Paraná; Inova Medical完了
-
Scripps Translational Science InstituteCue Health積極的、募集していない