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Impact of Spanish Public Health Measures on Emergency Visits and COVID19 diagnosed cases during the pandemic in Madrid

INTRODUCTION: Changes in Public Health recommendations may have changed the number of emergency visits and COVID-19 diagnosed cases in an Emergency Department in Madrid. MATERIAL AND METHODS: This retrospective case series study included all consecutive patients in a tertiary and urban ED in Madrid...

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Detalles Bibliográficos
Autores principales: MartínSánchez, Francisco Javier, Carbó, Adrián Valls, Picado, Amanda López, Martínez-Valero, Carmen, Miranda, Juande D., Pozuleo, José María Leal, del Castillo, Juan González
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedad Española de Quimioterapia 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7374031/
https://www.ncbi.nlm.nih.gov/pubmed/32517463
http://dx.doi.org/10.37201/req/053.2020
Descripción
Sumario:INTRODUCTION: Changes in Public Health recommendations may have changed the number of emergency visits and COVID-19 diagnosed cases in an Emergency Department in Madrid. MATERIAL AND METHODS: This retrospective case series study included all consecutive patients in a tertiary and urban ED in Madrid from 1(st) to 31(st) March. The sample was divided: NonCOVID-19, Non-investigated COVID-19, Possible COVID-19, Probable COVID-19, Confirmed COVID-19. Differences between public health periods were tested by ANOVA for each cohort, and by ANCOVA including the number of PCR tests (%) as covariate. RESULTS: A total of 7,163 (4,071 Non-COVID-19, 563 Non-investigated COVID-19, 870 Possible, 648 Probable and 1,011 Confirmed COVID-19) cases were included. Public Health measurements applied during each period showed a clear effect on the case proportion for the five cohorts. CONCLUSION: The variability of case definitions and diagnostic test criteria may have impact on the number of emergency visits and COVID-19 diagnosed cases in Emergency Department.