COVID-19大流行对心脏相关急诊科报告的影响：范围审查

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-01-30 DOI:10.1016/j.ienj.2025.101574

Emma J. Hall , Jamie Ranse , Gerben Keijzers , Julia Crilly

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引用次数: 0

摘要

背景：急性心脏病需要及时评估和管理，以优化患者的预后。了解急诊次数的变化是否与COVID-19大流行有关是很重要的。目的：从发病率、患者人口统计学、ED临床特征和结局等方面，提供关于大流行对急性心脏相关ED表现影响的已发表文章的综合分析。方法：采用乔安娜布里格斯研究所的方法进行范围审查。我们检索了四个数据库（Ovid MEDLINE、CINAHL、Scopus和公共卫生数据库（ProQuest）），检索了2020年1月1日至2022年4月30日期间发表的英文文章，这些文章报道了成人患者（18岁及以上）的急性心脏相关ED表现率，比较了COVID-19大流行时期和非大流行时期，以及人口统计学、和/或表现特征和/或结果。结果：16篇文章符合纳入标准。在2020年期间，心力衰竭和心肌梗死的ED表现显著下降。人口学、表现特征和结果的报道不一致。结论：虽然现有证据存在差异和异质性，但这些数据有助于为临床医生和政策制定者提供未来大流行的信息，并为COVID-19相关研究提供参考点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The impact of the COVID-19 pandemic on cardiac related emergency department presentations: A scoping review

Background

Acute cardiac conditions require timely assessment and management to optimise patient outcomes. It is important to understand whether changes in acute cardiac ED visits occurred in relation to the COVID-19 pandemic.

Objective

To provide a comprehensive synthesis of published articles regarding the impact of the pandemic on acute cardiac-related ED presentations in terms of rates, patient demographics, ED clinical characteristics, and outcomes.

Methods

A scoping review using the Joanna Briggs Institute methodology was undertaken. Four databases (Ovid MEDLINE, CINAHL, Scopus, and the Public Health Database (ProQuest)) were searched for articles published in English between 1 January 2020 and 30 April 2022 that reported on acute cardiac-related ED presentation rates, comparing COVID-19 pandemic and non-pandemic time periods, for adult patients (18 years and over), and demographics, and/or presentation characteristics, and/or outcomes.

Results

Sixteen articles met the inclusion criteria. There was a significant decline in ED presentations for heart failure and myocardial infarction during 2020. Demographic, presentation characteristics and outcomes were inconsistently reported.

Conclusion

While there is variation and heterogeneity in the current available evidence, this data is helpful for informing clinicians and policy makers for future pandemics as well as providing a reference point for COVID-19 related research.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.