COVID-19大流行对德克萨斯州一家儿童医院溺水患者急诊就诊的影响

Molly B Johnson, Diane Bao, Supriyanka Addimulam, Karen Piper, Karla A Lawson
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引用次数: 0

摘要

背景:溺水是儿童死亡的主要原因。致命和非致命溺水事件往往需要紧急护理。在新冠肺炎大流行期间,由于公共场所(如游泳池)受到限制,人们的日常活动发生了许多变化,个人也采取了预防措施以避免接触新冠病毒。本研究旨在评估在德克萨斯州一家儿科医院,与前两年相比,在COVID大流行期间接受溺水治疗的儿童的急诊(ED)访问量和患者人口统计学、现场因素和溺水严重程度的差异。方法:这项为期4年的回顾性研究使用了医院维护的溺水患者潜水登记数据,以评估在COVID大流行期间(2020年4月1日至2022年3月30日)和COVID大流行前两年(2018年4月1日至2020年3月30日)溺水ED就诊和患者因素的差异。结果:166例溺水患者中,85例处于新冠前,81例处于新冠期。结果显示,急诊科的总访问量有所下降,但溺水急诊科的访问量和每10,000次急诊科的溺水访问量没有变化。在大流行期间,因溺水接受治疗的儿童更有可能拥有私人保险,而不太可能没有保险。其他患者或事件因素无显著差异。结论:结果表明,在大流行期间,尽管ED的总体使用率有所下降,但溺水患者仍在寻求紧急治疗。需要进一步的研究来探索患者群体或发生溺水的环境的潜在变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of COVID-19 pandemic on emergency department visits for drowning at one Texas children's hospital.

Background: Drowning is a leading cause of death for children. Fatal and nonfatal drowning incidents often require emergency care. During the COVID-19 pandemic, there were many changes to people's daily activities due to restrictions on public places, such as swimming pools, and to personal precautions taken to avoid exposure to COVID. This study aimed to assess differences in emergency department (ED) visits and patient demographics, scene factors, and drowning severity for children treated for drowning during the COVID pandemic compared with the two prior years at one pediatric hospital in Texas.

Methods: This 4-year retrospective study used data from a hospital-maintained submersion registry of patients treated for drowning to assess differences in drowning ED visits and patient factors during COVID (April 1, 2020 - March 30, 2022) and the two years immediately prior to the COVID pandemic (April 1, 2018 - March 30, 2020).

Results: Of 166 patients treated for drowning, 85 were pre-COVID and 81 were during COVID. Results showed a decrease in total ED visits, but no change in drowning ED visits or the rate of drowning visits per 10,000 ED visits. During the pandemic, children treated for drowning were more likely to have private insurance and less likely to be uninsured. There were no significant differences in other patient or incident factors.

Conclusions: Results suggest patients continued to seek emergency treatment for drowning during the pandemic despite decreases in overall ED usage. Further studies are needed to explore potential shifts in the patient population or the setting where drownings occurred.

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