The Impact of the Covid-19 Outbreak on Emergency Room Attendances of Surgical Patients
19. april 2020 oppdatert av: Sheba Medical Center
The Impact of the Coronavirus Disease 2019 (Covid-19) Outbreak on Emergency Room Attendances of Surgical Patients at a Tertiary Medical Center
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.
Therefore we intend to To identify retrospectively all patients who presented to the emergency department at our medical institute between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020.
We will examine the impact of COVID-19 on the rates of surgical emergency visits, ratio of surgical visits to non-surgical visits, the ratio of severe presentations to non-severe presentations, and the impact of age on ED attendance.
Studieoversikt
Status
Ukjent
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Observasjonsmessig
Registrering (Forventet)
10000
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Ramat Gan, Israel
- Rekruttering
- Sheba Medical Center
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Ta kontakt med:
- Roi Anteby, MD
- Telefonnummer: +972545882207
- E-post: roi.anteby@sheba.health.gov.il
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Prøvetakingsmetode
Sannsynlighetsprøve
Studiepopulasjon
All patients aged >18 years old who attended the emergency department of Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
Beskrivelse
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
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
Kohorter og intervensjoner
Gruppe / Kohort |
Intervensjon / Behandling |
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Pandemic Period
Patients who presented to the emergency department at our medical institute Sheba Medical Center between January 1 - March 31 in 2020.
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Exposure: the novel coronavirus disease (Covid-19) outbreak
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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,
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tidsramme |
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Rates of emergency visits needing surgical consult
Tidsramme: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
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January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
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The ratio of severe presentations to non-severe presentations
Tidsramme: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
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January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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The impact of age on ED attendance rates
Tidsramme: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
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January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
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Differences in ED surgical visits (in terms of capacity and severity) of surgical patients depending on the presentation and the co morbidity
Tidsramme: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
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January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- 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.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
5. april 2020
Primær fullføring (Forventet)
1. april 2021
Studiet fullført (Forventet)
1. april 2022
Datoer for studieregistrering
Først innsendt
4. april 2020
Først innsendt som oppfylte QC-kriteriene
7. april 2020
Først lagt ut (Faktiske)
8. april 2020
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
21. april 2020
Siste oppdatering sendt inn som oppfylte QC-kriteriene
19. april 2020
Sist bekreftet
1. april 2020
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- SMC-20-7078-YZ-CTIL
Plan for individuelle deltakerdata (IPD)
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NEI
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
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Nei
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