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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...

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Autores principales: Kłosiewicz, Tomasz, Szkudlarek, Weronika, Węglewska, Magdalena, Konieczka, Patryk, Zalewski, Radosław, Podlewski, Roland, Sowińska, Anna, Puślecki, Mateusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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