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Analysis of effectiveness and outcome of traumatic brain injury treatment in ED during COVID-19 pandemic: A multicenter in Taiwan

The coronavirus disease 2019 has become a threat to global healthcare because of its rapid spread and evolution. In severe cases, the initial management of the disease is mainly supportive therapy and mechanical ventilation. Therefore, we investigated whether a modified emergency department workflow...

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Autores principales: Huang, Wei-Chao, Chen, Yin-Ju, Lee, Ming-Hsueh, Kuo, Ting-Yu, Lin, Meng-Hung, Lin, Martin Hsiu-Chu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10312366/
https://www.ncbi.nlm.nih.gov/pubmed/37390292
http://dx.doi.org/10.1097/MD.0000000000034128
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author Huang, Wei-Chao
Chen, Yin-Ju
Lee, Ming-Hsueh
Kuo, Ting-Yu
Lin, Meng-Hung
Lin, Martin Hsiu-Chu
author_facet Huang, Wei-Chao
Chen, Yin-Ju
Lee, Ming-Hsueh
Kuo, Ting-Yu
Lin, Meng-Hung
Lin, Martin Hsiu-Chu
author_sort Huang, Wei-Chao
collection PubMed
description The coronavirus disease 2019 has become a threat to global healthcare because of its rapid spread and evolution. In severe cases, the initial management of the disease is mainly supportive therapy and mechanical ventilation. Therefore, we investigated whether a modified emergency department workflow affects the efficacy will influence the efficacy and patient outcomes of traumatic brain injury (TBI) in Taiwan. This retrospective observational study used the Chang Gung Research Database in Taiwan from 7 hospitals in the Chang Gung Memorial Hospital System. Clinical index parameters and treatment efficiencies were analyzed between the locally transmitted period (January 20, 2020–June 7, 2020, period 2) and the community spread period (May 19, 2021–July 27, 2021, period 4) with the same interval of the pre-pandemic in 2019 as a reference period. During the locally transmitted period, only the time interval for patients who had to wait for a brain CT examination was, on average, 7.7 minutes shorter, which reached statistical significance. In addition, the number of TBI patients under 18 years of age decreased significantly during the community spread period. The “Door to the operating room (OR),” with polymerase chain reaction (PCR) testing, was on average 109.7 minutes slower than without the PCR testing in the reference period 2019. TBI treatment efficiency was delayed because of the PCR test. However, the surgical volume and functional outcome during these 2 periods were statistically insignificant compared to the pre-pandemic period because the spread of the virus was well controlled and hospital capacity was increased.
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spelling pubmed-103123662023-07-01 Analysis of effectiveness and outcome of traumatic brain injury treatment in ED during COVID-19 pandemic: A multicenter in Taiwan Huang, Wei-Chao Chen, Yin-Ju Lee, Ming-Hsueh Kuo, Ting-Yu Lin, Meng-Hung Lin, Martin Hsiu-Chu Medicine (Baltimore) 3900 The coronavirus disease 2019 has become a threat to global healthcare because of its rapid spread and evolution. In severe cases, the initial management of the disease is mainly supportive therapy and mechanical ventilation. Therefore, we investigated whether a modified emergency department workflow affects the efficacy will influence the efficacy and patient outcomes of traumatic brain injury (TBI) in Taiwan. This retrospective observational study used the Chang Gung Research Database in Taiwan from 7 hospitals in the Chang Gung Memorial Hospital System. Clinical index parameters and treatment efficiencies were analyzed between the locally transmitted period (January 20, 2020–June 7, 2020, period 2) and the community spread period (May 19, 2021–July 27, 2021, period 4) with the same interval of the pre-pandemic in 2019 as a reference period. During the locally transmitted period, only the time interval for patients who had to wait for a brain CT examination was, on average, 7.7 minutes shorter, which reached statistical significance. In addition, the number of TBI patients under 18 years of age decreased significantly during the community spread period. The “Door to the operating room (OR),” with polymerase chain reaction (PCR) testing, was on average 109.7 minutes slower than without the PCR testing in the reference period 2019. TBI treatment efficiency was delayed because of the PCR test. However, the surgical volume and functional outcome during these 2 periods were statistically insignificant compared to the pre-pandemic period because the spread of the virus was well controlled and hospital capacity was increased. Lippincott Williams & Wilkins 2023-06-30 /pmc/articles/PMC10312366/ /pubmed/37390292 http://dx.doi.org/10.1097/MD.0000000000034128 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 3900
Huang, Wei-Chao
Chen, Yin-Ju
Lee, Ming-Hsueh
Kuo, Ting-Yu
Lin, Meng-Hung
Lin, Martin Hsiu-Chu
Analysis of effectiveness and outcome of traumatic brain injury treatment in ED during COVID-19 pandemic: A multicenter in Taiwan
title Analysis of effectiveness and outcome of traumatic brain injury treatment in ED during COVID-19 pandemic: A multicenter in Taiwan
title_full Analysis of effectiveness and outcome of traumatic brain injury treatment in ED during COVID-19 pandemic: A multicenter in Taiwan
title_fullStr Analysis of effectiveness and outcome of traumatic brain injury treatment in ED during COVID-19 pandemic: A multicenter in Taiwan
title_full_unstemmed Analysis of effectiveness and outcome of traumatic brain injury treatment in ED during COVID-19 pandemic: A multicenter in Taiwan
title_short Analysis of effectiveness and outcome of traumatic brain injury treatment in ED during COVID-19 pandemic: A multicenter in Taiwan
title_sort analysis of effectiveness and outcome of traumatic brain injury treatment in ed during covid-19 pandemic: a multicenter in taiwan
topic 3900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10312366/
https://www.ncbi.nlm.nih.gov/pubmed/37390292
http://dx.doi.org/10.1097/MD.0000000000034128
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