The impact of population lockdown on the referral pattern for urology in a COVID-19 designated tertiary hospital in Malaysia

IF 0.8 Q4 UROLOGY & NEPHROLOGY
N. Amat, E. Philip, C. Chai, W. Yeoh, Jasmine Lim, A. Fadzli, S. Kuppusamy, T. Ong
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Abstract

Purpose: Once COVID-19 was first reported in Wuhan, China, in December 2019, it has rapidly spread worldwide. The Malaysian Government had taken an early measure by introducing the movement control order (MCO), which is a form of lockdown. This study aims at describing the referral pattern for urology in a COVID-19 designated tertiary hospital throughout the MCO period. Materials and Methods: All urology referrals received from March 18, 2020 to April 28, 2020 (i.e., during the MCO period) were included and assessed prospectively. For comparison, a retrospective study covering the period from February 1, 2020 to March 17, 2020 (i.e. pre-MCO period) was conducted. Parameters measured and compared include sources of referral, type of cases, outcomes, admission status, and COVID-19 status of patients referred. Results: The majority of referrals for urology were received from the emergency department during MCO (42.9%), followed by the medical ward (28.6%) and surgical ward (2.3%). In terms of the type of cases referred, during the MCO, the highest number of hematuria cases (22.5%) was received and a high number of Benign Prostate Hypertrophy (BPH) and urethral stricture cases (18.8%). Conservative measures remain the most commonly adopted outcomes/management for both pre and during MCO. The number of admissions required for urology referral showed a slight difference between pre and during MCO. Conclusion: The workload of urology referral in a COVID-19 designated tertiary hospital did not change despite MCO. This supports that the urology team still has an important role to play as a subspecialty unit in managing urology emergencies, even when elective surgeries and procedures are being reduced or rescheduled.
人口封锁对马来西亚新冠肺炎指定三级医院泌尿外科转诊模式的影响
目的:新冠肺炎于2019年12月在中国武汉首次报告后,已在全球迅速传播。马来西亚政府采取了早期措施,推出了行动控制令,这是一种封锁形式。本研究旨在描述新冠肺炎指定三级医院在整个MCO期间的泌尿外科转诊模式。材料和方法:纳入2020年3月18日至2020年4月28日(即MCO期间)收到的所有泌尿外科转诊,并进行前瞻性评估。为了进行比较,进行了一项涵盖2020年2月1日至2020年3月17日期间(即MCO前期间)的回顾性研究。测量和比较的参数包括转诊来源、病例类型、结果、入院状态和转诊患者的新冠肺炎状态。结果:大多数泌尿外科转诊患者在MCO期间(42.9%)来自急诊科,其次是内科(28.6%)和外科(2.3%),血尿病例最多(22.5%),良性前列腺增生(BPH)和尿道狭窄病例最多(18.8%)。保守措施仍然是MCO术前和术中最常用的治疗方法。泌尿外科转诊所需的入院人数在MCO前和期间略有差异。结论:新冠肺炎定点三级医院的泌尿外科转诊工作量尽管有MCO,但没有改变。这支持了泌尿外科团队作为一个亚专业单位在管理泌尿外科紧急情况方面仍然发挥着重要作用,即使选择性手术和程序正在减少或重新安排。
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来源期刊
Urological Science
Urological Science UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
26
审稿时长
6 weeks
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