The Impact of the Covid-19 Outbreak on Emergency Room Attendances of Surgical Patients
19 april 2020 uppdaterad 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.
Studieöversikt
Status
Okänd
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Observationell
Inskrivning (Förväntat)
10000
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
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Ramat Gan, Israel
- Rekrytering
- Sheba medical center
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Kontakt:
- Roi Anteby, MD
- Telefonnummer: +972545882207
- E-post: roi.anteby@sheba.health.gov.il
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Ja
Kön som är behöriga för studier
Allt
Testmetod
Sannolikhetsprov
Studera befolkning
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
Beskrivning
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
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
Kohorter och interventioner
Grupp / Kohort |
Intervention / 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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Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
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Rates of emergency visits needing surgical consult
Tidsram: 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
Tidsram: 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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Sekundära resultatmått
Resultatmått |
Tidsram |
|---|---|
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The impact of age on ED attendance rates
Tidsram: 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
Tidsram: 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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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- 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.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
5 april 2020
Primärt slutförande (Förväntat)
1 april 2021
Avslutad studie (Förväntat)
1 april 2022
Studieregistreringsdatum
Först inskickad
4 april 2020
Först inskickad som uppfyllde QC-kriterierna
7 april 2020
Första postat (Faktisk)
8 april 2020
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
21 april 2020
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
19 april 2020
Senast verifierad
1 april 2020
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- SMC-20-7078-YZ-CTIL
Plan för individuella deltagardata (IPD)
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