Author:
Mogharab Vahid,Ostovar Mahshid,Ruszkowski Jakub,Hussain Syed Zohaib Maroof,Shrestha Rajeev,Yaqoob Uzair,Aryanpoor Poorya,Nikkhoo Amir Mohammad,Heidari Parasta,Jahromi Athar Rasekh,Rayatdoost Esmaeil,Ali Anwar,Javdani Farshid,Farzaneh Roohie,Ghanaatpisheh Aref,Habibzadeh Seyed Reza,Foroughian Mahdi,Ahmadi Sayyed Reza,Akhavan Reza,Abbasi Bita,Shahi Behzad,Hakemi Arman,Bolvardi Ehsan,Bagherian Farhad,Motamed Mahsa,Boroujeni Sina Taherzadeh,Jamalnia Sheida,Mangouri Amir,Paydar Maryam,Mehrasa Neda,Shirali Dorna,Sanmarchi Francesco,Saeed Ayesha,Jafari Narges Azari,Babou Ali,Kalani Navid,Hatami Naser
Abstract
Abstract
Background
Apart from infecting a large number of people around the world and causing the death of many people, the COVID-19 pandemic seems to have changed the healthcare processes of other diseases by changing the allocation of health resources and changing people’s access or intention to healthcare systems.
Objective
To compare the incidence of endpoints marking delayed healthcare seeking in medical emergencies, before and during the pandemic.
Methods
Based on a PICO model, medical emergency conditions that need timely intervention was selected to be evaluated as separate panels. In a systematic literature review, PubMed was quarried for each panel for studies comparing the incidence of various medical emergencies before and during the COVID-19 pandemic. Markers of failure/disruption of treatment due to delayed referral were included in the meta-analysis for each panel.
Result
There was a statistically significant increased pooled median time of symptom onset to admission of the acute coronary syndrome (ACS) patients; an increased rate of vasospasm of aneurismal subarachnoid hemorrhage; and perforation rate in acute appendicitis; diabetic ketoacidosis presentation rate among Type 1 Diabetes Mellitus patients; and rate of orchiectomy among testicular torsion patients in comparison of pre-COVID-19 with COVID-19 cohorts; while there were no significant changes in the event rate of ruptured ectopic pregnancy and median time of symptom onset to admission in the cerebrovascular accident (CVA) patients.
Conclusions
COVID-19 has largely disrupted the referral of patients for emergency medical care and patient-related delayed care should be addressed as a major health threat.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Health Policy
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