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Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital—Single Center Observational Study
Background: The outbreak of the Coronavirus Disease 2019 (COVID-19) pandemic has caused many significant social and economic changes. The consecutive waves of the epidemic in various countries have had dissimilar courses depending on the methods used to combat it. The aim of this study was to determ...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775057/ https://www.ncbi.nlm.nih.gov/pubmed/35052182 http://dx.doi.org/10.3390/healthcare10010018 |
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author | Kłosiewicz, Tomasz Szkudlarek, Weronika Węglewska, Magdalena Konieczka, Patryk Zalewski, Radosław Podlewski, Roland Sowińska, Anna Puślecki, Mateusz |
author_facet | Kłosiewicz, Tomasz Szkudlarek, Weronika Węglewska, Magdalena Konieczka, Patryk Zalewski, Radosław Podlewski, Roland Sowińska, Anna Puślecki, Mateusz |
author_sort | Kłosiewicz, Tomasz |
collection | PubMed |
description | Background: The outbreak of the Coronavirus Disease 2019 (COVID-19) pandemic has caused many significant social and economic changes. The consecutive waves of the epidemic in various countries have had dissimilar courses depending on the methods used to combat it. The aim of this study was to determine the dynamics of the third wave of COVID-19 from the perspective of emergency departments (ED). Methods: This was a retrospective review of medical records from ED. The authors have identified the most frequent symptoms. Prognostic factors have been chosen—prognostic scales, length of stay (LOS)—and a number of resources required have been calculated. Results: As the time passed, there were fewer patients and they presented mild symptoms. A statistically significant difference was observed in the median of blood oxygenation measurement (p = 0.00009), CRP level (p = 0.0016), and admission rate. Patients admitted to the hospital required more resources at ED. LOS was shorter in patients discharged home (p < 0.0001). Conclusions: The blood oxygen saturation (SPO2) and CPR levels can be helpful in decision-making regarding medical treatment. The fast-track for patients in good clinical condition may shorten the duration of stay in ED, and reduce the number of required resources. |
format | Online Article Text |
id | pubmed-8775057 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87750572022-01-21 Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital—Single Center Observational Study Kłosiewicz, Tomasz Szkudlarek, Weronika Węglewska, Magdalena Konieczka, Patryk Zalewski, Radosław Podlewski, Roland Sowińska, Anna Puślecki, Mateusz Healthcare (Basel) Article Background: The outbreak of the Coronavirus Disease 2019 (COVID-19) pandemic has caused many significant social and economic changes. The consecutive waves of the epidemic in various countries have had dissimilar courses depending on the methods used to combat it. The aim of this study was to determine the dynamics of the third wave of COVID-19 from the perspective of emergency departments (ED). Methods: This was a retrospective review of medical records from ED. The authors have identified the most frequent symptoms. Prognostic factors have been chosen—prognostic scales, length of stay (LOS)—and a number of resources required have been calculated. Results: As the time passed, there were fewer patients and they presented mild symptoms. A statistically significant difference was observed in the median of blood oxygenation measurement (p = 0.00009), CRP level (p = 0.0016), and admission rate. Patients admitted to the hospital required more resources at ED. LOS was shorter in patients discharged home (p < 0.0001). Conclusions: The blood oxygen saturation (SPO2) and CPR levels can be helpful in decision-making regarding medical treatment. The fast-track for patients in good clinical condition may shorten the duration of stay in ED, and reduce the number of required resources. MDPI 2021-12-23 /pmc/articles/PMC8775057/ /pubmed/35052182 http://dx.doi.org/10.3390/healthcare10010018 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kłosiewicz, Tomasz Szkudlarek, Weronika Węglewska, Magdalena Konieczka, Patryk Zalewski, Radosław Podlewski, Roland Sowińska, Anna Puślecki, Mateusz Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital—Single Center Observational Study |
title | Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital—Single Center Observational Study |
title_full | Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital—Single Center Observational Study |
title_fullStr | Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital—Single Center Observational Study |
title_full_unstemmed | Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital—Single Center Observational Study |
title_short | Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital—Single Center Observational Study |
title_sort | dynamics of the third wave of covid-19 from the perspective of the emergency department in a large regional hospital—single center observational study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775057/ https://www.ncbi.nlm.nih.gov/pubmed/35052182 http://dx.doi.org/10.3390/healthcare10010018 |
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