Bulletin of emergency and trauma最新文献_第9页

Characteristics and In-Hospital Outcomes of Pediatric Traumatic Spinal Injuries in A Referral Trauma Center. 某转诊创伤中心儿童外伤性脊柱损伤的特点和住院结果

Bulletin of emergency and trauma Pub Date : 2021-10-01 DOI: 10.30476/BEAT.2021.91333.1275

Hamid Rezaee, Ehsan Keykhosravi, Amin Tavallaii

{"title":"Characteristics and In-Hospital Outcomes of Pediatric Traumatic Spinal Injuries in A Referral Trauma Center.","authors":"Hamid Rezaee, Ehsan Keykhosravi, Amin Tavallaii","doi":"10.30476/BEAT.2021.91333.1275","DOIUrl":"https://doi.org/10.30476/BEAT.2021.91333.1275","url":null,"abstract":"Objective: To evaluate the characteristics and in-hospital outcomes of traumatic spinal injuries among children admitted to a local trauma center in Iran. Methods: Patients aged 0-18 years who had been admitted to Shahid Kamyab trauma center for acute traumatic spinal injury (Mashhad, Iran) between 2011 and 2018 were evaluated retrospectively. Various demographic, clinical, radiological, and outcome variables were recorded and analyzed. Results: A total of 127,300 trauma patients were evaluated and amongst them, 61 children had spinal trauma. The mean age was 11.1 and there was no significant sex preponderance (54% males). Most of the injuries were occurred in summer (34.4%) and the most common trauma mechanism was motor vehicle accidents (55.7%) followed by falling (36.1%). Almost all patients (95.1%) had vertebral fractures, which were in the cervical, thoracic, and lumbosacral area in order to decrease incidence. 67.2% of patients were managed non-surgically. The mean hospital stay was 8.9 days and 82.0% of patients had been discharged with normal motor function. Conclusion: Pediatric spinal trauma is less studied entity in the field of traumatology due to the lower prevalence of these injuries in pediatric patients worldwide. But our study shows a higher prevalence of such injuries in the pediatric population. Although controversial, the leading cause of these injuries is motor vehicle accidents. Fortunately, short term in-hospital outcome seems to be good in such injuries.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"9 4","pages":"178-182"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39553544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

S100 Calcium-Binding Protein B and Glial Fibrillary Acidic Protein in Patients with Mild Traumatic Brain Injury. S100钙结合蛋白B和胶质纤维酸性蛋白在轻度颅脑损伤中的作用。

Bulletin of emergency and trauma Pub Date : 2021-10-01 DOI: 10.30476/BEAT.2021.89355.1231

Ali Meshkini, Amir Ghorbani Haghjo, Zahra Hasanpour Segherlou, Masoud Nouri-Vaskeh

{"title":"S100 Calcium-Binding Protein B and Glial Fibrillary Acidic Protein in Patients with Mild Traumatic Brain Injury.","authors":"Ali Meshkini, Amir Ghorbani Haghjo, Zahra Hasanpour Segherlou, Masoud Nouri-Vaskeh","doi":"10.30476/BEAT.2021.89355.1231","DOIUrl":"https://doi.org/10.30476/BEAT.2021.89355.1231","url":null,"abstract":"Objective: To examine the GFAP and S100B ability in prevention unnecessary brain Computed tomography (CT) scan in mild traumatic brain injury (mTBI) and compare them with the single extremity fracture in orthopedic patients.Methods: In this prospective cohort study, two orthopedics patients' groups and mTBI patients were studied to assess the biomarkers' ability in prevention unnecessary brain CT scan at the emergency setting. There were 40 orthopedics' patients with single extremity fracture and 41 mTBI patients. Brain CT scans were done for all mTBI patients.Results: Brain CT scans showed no intracranial traumatic lesions. The median levels for S100B in the mTBI group was 14.8 (4.4-335.9) ng/L, and in orthopedic patients' group was 13.3 (5-353.10) ng/L. Statistically significant differences were observed between both groups in S100B levels (p=0.006). The median Glial Fibrillary Acidic Protein (GFAP) levels in the mTBI patients' group were 600 (400-16300) and in the orthopedic patients' groups was 60 ng/L (300-14900). Statistically significant differences were observed between groups in GFAP (p=0.041).Conclusion: Our results showed that S100B and GFAP serum levels were significantly higher in patients with mTBI than in patients with a single limb fracture.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"9 4","pages":"183-187"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39553546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Term Spontaneous Heterotopic Pregnancy (Abdominal and Intrauterine): A Case Report. 足月自发性异位妊娠(腹部和宫内)1例报告。

Bulletin of emergency and trauma Pub Date : 2021-10-01 DOI: 10.30476/BEAT.2021.86588.1153

Mozhde Momtahan, Maryam Kasraeean, Azam Faraji, Shaghayegh Moradi-Alamdarloo, Mina Moosaie

{"title":"Term Spontaneous Heterotopic Pregnancy (Abdominal and Intrauterine): A Case Report.","authors":"Mozhde Momtahan, Maryam Kasraeean, Azam Faraji, Shaghayegh Moradi-Alamdarloo, Mina Moosaie","doi":"10.30476/BEAT.2021.86588.1153","DOIUrl":"https://doi.org/10.30476/BEAT.2021.86588.1153","url":null,"abstract":"Spontaneous heterotopic pregnancy is a potentially life-threatening condition rarely considered when a patient with an intrauterine pregnancy is asymptomatic or presents with complaints such as abdominal pain. An advanced abdominal pregnancy is even more unusual as the form of the ectopic component outside the context of assisted reproduction and is difficult in diagnosis with very few cases reported in the literature. We report such a case in a 31-year-old primigravida with heterotopic pregnancy which is a fetus in the uterine cavity and the other in the abdominal cavity. Her pregnancy was initially misdiagnosed and managed as a di-amniotic di-chorionic gestation. The correct diagnosis was only made after term delivery of the intrauterine pregnancy. The patient was complicated with severe bleeding which led to disseminated intravascular coagulopathy and massive transfusion. Two other operations were imposed on the patient because of bleeding. The clinical risk factor for ectopic pregnancy was only previous pelvic inflammatory disease in this woman.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"9 4","pages":"201-203"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39553549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality of Life after Motorcycle Traffic Injuries: A Cohort Study in Northwest of Iran. 伊朗西北部摩托车交通伤害后的生活质量:一项队列研究

Bulletin of emergency and trauma Pub Date : 2021-10-01 DOI: 10.30476/BEAT.2021.87236.1182

Leili Abedi Gheslaghi, Hamid Sharifi, Mehdi Noroozi, Mohsen Barouni, Homayoun Sadeghi-Bazargani

{"title":"Quality of Life after Motorcycle Traffic Injuries: A Cohort Study in Northwest of Iran.","authors":"Leili Abedi Gheslaghi, Hamid Sharifi, Mehdi Noroozi, Mohsen Barouni, Homayoun Sadeghi-Bazargani","doi":"10.30476/BEAT.2021.87236.1182","DOIUrl":"https://doi.org/10.30476/BEAT.2021.87236.1182","url":null,"abstract":"Objective: To investigate the quality of life (QOL) of injured motorcyclists and associated factors in a period of three months after the accident.Methods: In the present study, we were included 190 injured motorcyclists who admitted to two referral specialized hospitals (Emam Reza and Shohada) in Tabriz, between June 2018 and January 2019. All injured motorcyclists were contacted through the telephone one and 171 of them (90%) three months after their accident to complete an EQ-5D-3L questionnaire. The baseline measurements were gathered by using face to face interviews in the hospitals. The QOL score could vary between 1 and 3. The higher score showed a lower QOL.Results: The injured motorcyclist's QOL score was relatively better in three months after the accident (mean±Standard Deviation (SD): 1.78±0.51) in comparison with their status a month after the accident (2.15±0.65) (p<0.001). The multivariable model showed that individuals with pelvis injuries (Coef: 0.29, (95% CI: 0.16, 0.42), p=0.001) and knee injuries (Coef: 0.26, (95% CI: 0.10, 0.42), p=0.001), experienced a higher QOL score. Also, those whose accident had happened in rainy weather experienced higher QOL score (Coef: 0.33, (95% CI: 0.12, 0.53), p=0.001). The patients who were in an accident with a vehicle were experienced a better QOL than others (Coef: -0.26, (95% CI: -0.43, -0.09), p=0.002).Conclusion: The assessment of three-months post-accident showed that the QOL score of the motorcyclists was reduced. It is recommended that the QOL of patients should be improved in hospital discharge victims.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"9 4","pages":"169-177"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39553545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Epidemiology of Chemical Burns Among the Patients Referred to Burn Centers in Shiraz, Southern Iran, 2008-2018. 2008-2018年伊朗南部设拉子地区烧伤中心化学烧伤流行病学调查

Bulletin of emergency and trauma Pub Date : 2021-10-01 DOI: 10.30476/BEAT.2021.90754.1261

Hosein Abbasi, Ali Dehghani, Ali Akbar Mohammadi, Tayyeb Ghadimi, Abdolkhalegh Keshavarzi

{"title":"The Epidemiology of Chemical Burns Among the Patients Referred to Burn Centers in Shiraz, Southern Iran, 2008-2018.","authors":"Hosein Abbasi, Ali Dehghani, Ali Akbar Mohammadi, Tayyeb Ghadimi, Abdolkhalegh Keshavarzi","doi":"10.30476/BEAT.2021.90754.1261","DOIUrl":"https://doi.org/10.30476/BEAT.2021.90754.1261","url":null,"abstract":"Objective: To investigate the prevalence of chemical burns among the patients admitted to Shiraz burn treatment centers.Methods: It is a descriptive study that was conducted on 62 patients with chemical burns who were admitted between 2008 and 2018. The patients' records were used in the research using the census sampling process. A questionnaire with questions about age, sex, the extent of the burn, the cause of the burn, duration of hospital stay, level of education, incident location, and clinical outcome was used to collect data (survival-death). The data was analyzed by using descriptive statistical methods.Results: The prevalence of chemical burns was 1% during 2008-2018. Acid and alkali burns were accounted for 93.5% and 6.5% of burns, respectively. 77.4% of patients were male, and 22.6% were female. The mean age of patients was 27 years. The average burn percentage was 16%. 70.6% of patients were illiterate or had primary education. Burns occurred at the workplace and home in 12.9% and 66.1% of cases, respectively. Moreover, Burns occurred due to accident (61%), acid attack (29%), and self-immolation (10%). The average length of hospital stay was 20 days. One patient (1.6%) died from burns.Conclusion: The study's findings revealed that chemical burns were more common in men than women, and the majority of chemical burns occurred at home. To minimize the occurrence of chemical burns and acid attacks, teaching methods of preventing burns is important at home and work, as well as restricting non-specialists' access to chemicals.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"9 4","pages":"195-200"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39553548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Sanctions or National Policies in COVID-19 Management in Iran: Which One is More Effective?! 制裁或国家政策在伊朗COVID-19管理中:哪个更有效?

Bulletin of emergency and trauma Pub Date : 2021-10-01 DOI: 10.30476/beat.2021.90365.1249

Mahmoudreza Peyravi, Milad Ahmadi Marzaleh

引用次数: 0

Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review. 预防老年人跌倒的多因素干预的成本效益:一项系统综述。

Bulletin of emergency and trauma Pub Date : 2021-10-01 DOI: 10.30476/BEAT.2021.84375.1068

Vahid Alipour, Saber Azami-Aghdash, Aziz Rezapour, Naser Derakhshani, Akbar Ghiasi, Neghar Yusefzadeh, Sanaz Taghizade, Sahar Amuzadeh

{"title":"Cost-Effectiveness of Multifactorial Interventions in Preventing Falls among Elderly Population: A Systematic Review.","authors":"Vahid Alipour, Saber Azami-Aghdash, Aziz Rezapour, Naser Derakhshani, Akbar Ghiasi, Neghar Yusefzadeh, Sanaz Taghizade, Sahar Amuzadeh","doi":"10.30476/BEAT.2021.84375.1068","DOIUrl":"https://doi.org/10.30476/BEAT.2021.84375.1068","url":null,"abstract":"Objective: To review the cost-effectiveness of multifactorial interventions to prevent falls in elderly people.Methods: In this systematic review, the databases including PubMed via MEDLINE, Web of Science, Embase, Scopus, Cochrane Library and Google Scholar (from 1st January 2000 to 30th February) were used. All pre-reviewed articles related to cost-effectiveness analysis of multifactorial interventions to prevent falls in elderly were included in this paper and congresses abstracts were excluded. Descriptive statistics were used for quantitative data and content-analysis method to analyze qualitative data.Results: Out of the 456 articles, 19 were finally included in the study. Eighteen articles were conducted in High-Income Countries (HICs) and 16 were at the community level. Medical visits consultation and education were the most common interventions. Most studies were cost-effectiveness and using the Randomized Control Trial (RCT) methods. A fall of prevention costs ranged from $ 272 to $ 987. Incremental Cost-Effectiveness Ratio (ICER) interventions also ranged from the US $ 120,667 to the US $ 4280.9.Conclusion: The results show that despite the high effectiveness of multifactorial interventions to prevent elderly falls, the cost of the interventions are high and they are not very cost-effective. It would be better to design and implement multifactorial interventions with low cost and high effectiveness that are appropriate for each country.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"9 4","pages":"159-168"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39553543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Comparison of Anterior, Posterior, and Combined Surgical Approaches on the Outcomes of Patients Suffering from Subaxial Cervical Spine Injuries. 前路、后路和联合手术入路对颈椎下轴型损伤患者预后的比较。

Bulletin of emergency and trauma Pub Date : 2021-07-01 DOI: 10.30476/BEAT.2021.90865.1266

Hamid Rezaee, Ehsan Keykhosravi, Mojtaba Mashhadinejad, Masoud Pishjoo

{"title":"Comparison of Anterior, Posterior, and Combined Surgical Approaches on the Outcomes of Patients Suffering from Subaxial Cervical Spine Injuries.","authors":"Hamid Rezaee, Ehsan Keykhosravi, Mojtaba Mashhadinejad, Masoud Pishjoo","doi":"10.30476/BEAT.2021.90865.1266","DOIUrl":"https://doi.org/10.30476/BEAT.2021.90865.1266","url":null,"abstract":"Objective: To investigate the radiological and clinical outcomes of different surgical approaches in cervical spinal trauma in northeastern of Iran.Methods: The present study was conducted retrospectively from January 2011 to December 2017 in Mashhad, Iran. The demographic characteristics, hospitalization duration, and patient's surgery detail data were extracted from the patients' medical records. The follow-up period was at least six months after surgery.Results: This study was conducted on 72 patients and the majority (n=51; 70.8 %) of them were male. Moreover, the participants; mean age was determined at 40.7±16.5 years. In total, 33 (45.8%), 13(18.1%), and 11 patients (15.3%) were operated using the anterior, posterior, and combined approaches in one round, respectively. It should be mentioned that 15 (20.8%) patients underwent the combined approach in two rounds. Early mortality was observed in 22 (30.6%) patients in the admission period. According to the follow-up X-ray results, the type of approach showed no relationship with non-fusion, malalignment, cage subside, and adjacent disk narrowing (p>0.05).Conclusion: According to the obtained results, there was no significant association between neurological and radiological outcomes among approaches. A high mortality rate was noted in combined surgery at one round, and the posterior approach is the best option when our goal is to correct lordosis.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"9 3","pages":"133-137"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Comparative Study of the Registry System effect on Patients Satisfaction Rate in Two Emergency Department Settings. 注册制度对两种急诊科患者满意度影响的比较研究。

Bulletin of emergency and trauma Pub Date : 2021-07-01 DOI: 10.30476/BEAT.2021.84704.1076

Orhan Delice, Samad Shams Vahdati, Senol Arslan, Alireza Alireza, Hossein Hosseinifar, Faride Houshmand, Solomon Habtemariam, Aysa Rezabakhsh

{"title":"A Comparative Study of the Registry System effect on Patients Satisfaction Rate in Two Emergency Department Settings.","authors":"Orhan Delice, Samad Shams Vahdati, Senol Arslan, Alireza Alireza, Hossein Hosseinifar, Faride Houshmand, Solomon Habtemariam, Aysa Rezabakhsh","doi":"10.30476/BEAT.2021.84704.1076","DOIUrl":"https://doi.org/10.30476/BEAT.2021.84704.1076","url":null,"abstract":"Objective: To assess the patient's satisfaction rate during two distinct registry procedures in the emergency department.Methods: A cross-sectional study was conducted in educational hospitals with a high volume of patient's admission in Tabriz-Iran and Erzurum-Turkey. In this study, we used a Press Ganey questionnaire as a data collection tool that was filled out with patients or their companions before discharging or referred to other areas (wards). Finally, data were analyzed by using SPSS software version 16.Results: The included patients were from three-admission time courses includes morning, evening, and night shifts. The present study results indicated that the total satisfaction score was two scores higher than the classic one (p<0.001) in the model registry system. Furthermore, the findings of the current study interestingly showed a correlation between satisfaction rate and education level as well as patient's location. Thus, patients with moderate education levels had a higher satisfaction rate in urban regions when compared with rural regions and higher/lower education levels (p=0.03).Conclusion: Patients' satisfaction rate with multiple variables can be improved by designing an appropriate registry procedure.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"9 3","pages":"138-144"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COVID-19 Impact on the Doctor-Patient Relationship: Patient Perspectives on Emergency Physician Empathy and Communication. COVID-19对医患关系的影响:急诊医生移情和沟通的患者视角

Bulletin of emergency and trauma Pub Date : 2021-07-01 DOI: 10.30476/BEAT.2021.89058.1216

Sophia Aguirre, Kristen M Jogerst, Zachary Ginsberg, Sandeep Voleti, Puneet Bhullar, Joshua Spegman, Taylor Viggiano, Jessica Monas, Douglas Rappaport

{"title":"COVID-19 Impact on the Doctor-Patient Relationship: Patient Perspectives on Emergency Physician Empathy and Communication.","authors":"Sophia Aguirre, Kristen M Jogerst, Zachary Ginsberg, Sandeep Voleti, Puneet Bhullar, Joshua Spegman, Taylor Viggiano, Jessica Monas, Douglas Rappaport","doi":"10.30476/BEAT.2021.89058.1216","DOIUrl":"https://doi.org/10.30476/BEAT.2021.89058.1216","url":null,"abstract":"Objective: To investigate in how the current COVID-19 pandemic affects patient's perceptions of emergency physician empathy and communication.Methods: Patients cared for by Emergency Department physicians with the lowest satisfaction scores were surveyed within one week of discharge via phone. Using questions from the Consultation and Relational Empathy (CARE) survey, patients rated their satisfaction with their Emergency provider's empathy and communication on a scale of 1 to 5 and provided feedback on how the patient-provider interaction could be improved. Demographic data and patient responses to CARE survey questions were compared between pre-COVID-19 and during COVID-19 time. Patient's open-ended responses were analyzed for themes related to the impact of COVID-19 on the patient-provider relationship.Results: Patient median quantitative scores were 5 (4-5) across all five questions of pre-COVID-19 and 5 (4-5) during COVID-19 for all questions except two (showing care and compassion), median 5(5-5). Female patients rated provider empathy and communication lower than mens. There was no differences across age strata. A shift in provider focuses to COVID-19 only care (N=3), and an understanding of the stress on healthcare processes (N=13) from open-ended responses themes emerged of patients who want to minimize interactions within the emergency department (N=3).Conclusions: The external factor of the current pandemic did not negatively impact patient's satisfaction scores. Many patients express leniency and gratitude for emergency providers during this challenging time. Their responses seem to mirror current societal views of frontline healthcare workers.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"9 3","pages":"125-132"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11