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1.
Acta Med Port ; 33(11): 733-741, 2020 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-33160423

RESUMO

INTRODUCTION: Portugal took early action to control the COVID-19 epidemic, initiating lockdown measures on March 16th when it recorded only 62 cases of COVID-19 per million inhabitants and reported no deaths. The Portuguese public complied quickly, reducing their overall mobility by 80%. The aim of this study was to estimate the initial impact of the lockdown in Portugal in terms of the reduction of the burden on the healthcare system. MATERIAL AND METHODS: We forecasted epidemic curves for: Cases, hospital inpatients (overall and in intensive care), and deaths without lockdown, assuming that the impact of containment measures would start 14 days after initial lockdown was implemented. We used exponential smoothing models for deaths, intensive care and hospitalizations and an ARIMA model for number of cases. Models were selected considering fitness to the observed data up to the 31st March 2020. We then compared observed (with intervention) and forecasted curves (without intervention). RESULTS: Between April 1st and April 15th, there were 146 fewer deaths (-25%), 5568 fewer cases (-23%) and, as of April 15th, there were 519 fewer intensive care inpatients (-69%) than forecasted without the lockdown. On April 15th, the number of intensive care inpatients could have reached 748, three times higher than the observed value (229) if the intervention had been delayed. DISCUSSION: If the lockdown had not been implemented in mid-March, Portugal intensive care capacity (528 beds) would have likely been breached during the first half of April. The lockdown seems to have been effective in reducing transmission of SARS-CoV-2, serious COVID-19 disease, and associated mortality, thus decreasing demand on health services. CONCLUSION: An early lockdown allowed time for the National Health Service to mobilize resources and acquire personal protective equipment, increase testing, contact tracing and hospital and intensive care capacity and to promote broad prevention and control measures. When lifting more stringent measures, strong surveillance and communication strategies that mobilize individual prevention efforts are necessary.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Emergências/epidemiologia , Epidemias/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Política Pública/legislação & jurisprudência , Quarentena/métodos , Ocupação de Leitos , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/mortalidade , Infecções por Coronavirus/transmissão , Cuidados Críticos/estatística & dados numéricos , Epidemias/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/mortalidade , Pneumonia Viral/transmissão , Portugal/epidemiologia , Quarentena/estatística & dados numéricos
3.
Ann Emerg Med ; 76(5): 595-601, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33008651

RESUMO

STUDY OBJECTIVE: In the initial period of the coronavirus disease 2019 (COVID-19) pandemic, there has been a substantial decrease in the number of patients seeking care in the emergency department. A first step in estimating the impact of these changes is to characterize the patients, visits, and diagnoses for whom care is being delayed or deferred. METHODS: We conducted an observational study, examining demographics, visit characteristics, and diagnoses for all ED patient visits to an urban level 1 trauma center before and after a state emergency declaration and comparing them with a similar period in 2019. We estimated percent change on the basis of the ratios of before and after periods with respect to 2019 and the decline per week using Poisson regression. Finally, we evaluated whether each factor modified the change in overall ED visits. RESULTS: After the state declaration, there was a 49.3% decline in ED visits overall, 35.2% (95% confidence interval -38.4 to -31.9) as compared with 2019. Disproportionate declines were seen in visits by pediatric and older patients, women, and Medicare recipients, as well as for presentations of syncope, cerebrovascular accidents, urolithiasis, and abdominal and back pain. Significant proportional increases were seen in ED visits for upper respiratory infections, shortness of breath, and chest pain. CONCLUSION: There have been significant changes in patterns of care seeking during the COVID-19 pandemic. Declines in ED visits, especially for certain demographic groups and disease processes, should prompt efforts to understand these phenomena, encourage appropriate care seeking, and monitor for the morbidity and mortality that may result from delayed or deferred care.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Emergências/epidemiologia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Pandemias , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Estados Unidos/epidemiologia
4.
Medicina (Kaunas) ; 56(10)2020 Oct 12.
Artigo em Inglês | MEDLINE | ID: mdl-33053765

RESUMO

Background and objectives: The coronavirus disease 2019 (COVID-19) pandemic is overwhelming Japan's intensive care capacity. This study aimed to determine the number of patients with COVID-19 who required intensive care and to compare the numbers with Japan's intensive care capacity. Materials and Methods: Publicly available datasets were used to obtain the number of confirmed patients with COVID-19 undergoing mechanical ventilation and extracorporeal membrane oxygenation (ECMO) between 15 February and 19 July 2020 to determine and compare intensive care unit (ICU) and attending bed needs for patients with COVID-19, and to estimate peak ICU demands in Japan. Results: During the epidemic peak in late April, 11,443 patients (1.03/10,000 adults) had been infected, 373 patients (0.034/10,000 adults) were in ICU, 312 patients (0.028/10,000 adults) were receiving mechanical ventilation, and 62 patients (0.0056/10,000 adults) were under ECMO per day. At the peak of the epidemic, the number of infected patients was 651% of designated beds, and the number of patients requiring intensive care was 6.0% of ICU beds, 19.1% of board-certified intensivists, and 106% of designated medical institutions in Japan. Conclusions: The number of critically ill patients with COVID-19 continued to rise during the pandemic, exceeding the number of designated beds but not exceeding ICU capacity.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Cuidados Críticos/estatística & dados numéricos , Unidades de Terapia Intensiva/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Pneumonia Viral/terapia , Estado Terminal/epidemiologia , Emergências/epidemiologia , Humanos , Japão , Masculino , Pandemias
5.
Rev. cuba. estomatol ; 57(3): e2891, jul.-set. 2020. tab, graf
Artigo em Português | LILACS, CUMED | ID: biblio-1126518

RESUMO

RESUMO Introdução: Diversas situações no consultório odontológico podem gerar quadros de emergência. A administração de anestésicos locais, o atendimento odontológico aos pacientes com comprometimento sistêmico, ansiedade e medo são muitas vezes as causas mais comuns. Objetivo: O objetivo deste estudo foi avaliar o nível de percepção dos alunos de Odontologia frente às principais emergências odontológicas. Métodos: Tratou-se de um estudo transversal e descritivo com abordagem quantitativa dos dados por meio dos questionários. Foram entrevistados 138 alunos cursando do 5º ao 10º período de odontologia da Universidade Federal de Campina Grande, na cidade de Patos, Paraíba. Resultados: Foi observado que 86,2 porcento do total de entrevistados responderam saber a diferença entre urgência e emergência; 52,2 porcento dos alunos confirmaram receber ou terem recebido instruções extracurriculares sobre o assunto; 59,4 porcento responderam que o aprendizado fornecido na graduação sobre este tema não está sendo suficiente. Cerca de 17,4 porcento destes alunos responderam saber realizar as manobras de Reanimação Cardiopulmonar, 11,6 porcento dos entrevistados relataram que se sentiam preparados para lidar com uma situação de emergência e 81,9 porcento dos alunos pretendem buscar uma formação complementar durante ou após a graduação. Conclusão: Verificou-se que os alunos de graduação em odontologia apresentaram um baixo nível de percepção sobre as emergências médicas no consultório odontológico(AU)


RESUMEN Introducción: Varias situaciones en el consultorio dental pueden generar casos de emergencia. La administración de anestésicos locales, el cuidado dental a pacientes con deterioro sistémico, ansiedad y miedo, son a menudo las causas más comunes. Objetivo: Evaluar el nivel de percepción de los alumnos de odontología frente a las principales emergencias odontológicas. Métodos: Se trató de un estudio transversal y descriptivo de los datos por medio de los cuestionarios. Se entrevistaron 138 alumnos del 5.º al 10.º periodo de odontología de la Universidade Federal de Campina Grande, en la ciudad de Patos, Paraíba. Resultados: Se observó que el 86,2 por ciento del total de alumnos entrevistados sabían la diferencia entre urgencia y emergencia; 52,2 por ciento de los alumnos confirmaron recibir o haber recibido instrucciones extracurriculares sobre el asunto. El 59,4 por ciento respondió que el aprendizaje proporcionado en la graduación sobre este tema no está siendo suficiente. Alrededor del 17,4 por ciento de estos alumnos respondieron a saber realizar las maniobras de resucitación cardiopulmonar, 11,6 por ciento de los entrevistados se sentían preparados para lidiar con una situación de emergencia y el 81,9 por ciento de los alumnos entrevistados pretenden buscar una formación complementaria durante o después de la graduación. Conclusión: Se descubrió que los estudiantes de odontología tenían un bajo nivel de percepción sobre emergencias médicas en el consultorio odontológico(AU)


ABSTRACT Introduction: Several situations in the dental office may cause emergency cases. Administration of local anesthetics, dental care to patients with systemic deterioration, anxiety and fear are often the most common causes. Objective: To evaluate the dental level of perception of dental students facing the main dental emergencies. Methods: This was a cross-sectional and descriptive study of the data through questionnaires. We interviewed 138 students from the 5th to the 10th period of Dental Medicine at the Federal University of Campina Grande, in the city of Patos, Paraíba. Results: We observed that 86.2 percent of the interviewed students knew the difference between urgency and emergency; 52.2 percent of the students confirmed receiving or having received extracurricular instructions about the topic; 59.4 percent answered that the learning provided about this topic after graduation is not being sufficient. About 17.4 percent of these students responded positively to knowing how to perform cardiopulmonary resuscitation maneuvers; 11.6 percent of those interviewed felt themselves prepared to deal with an emergency situation, while 81.9 percent of the students interviewed intended to seek complementary training during or after graduation. Conclusion: Dental students were found to have a low level of perception about medical emergencies in the dental office(AU)


Assuntos
Humanos , Percepção , Estudantes de Odontologia , Identificação da Emergência , Emergências/epidemiologia , Epidemiologia Descritiva , Estudos Transversais , Assistência Odontológica/métodos , Consultórios Odontológicos
6.
Dtsch Arztebl Int ; 117(33-34): 545-552, 2020 08 17.
Artigo em Inglês | MEDLINE | ID: mdl-32865489

RESUMO

BACKGROUND: In this study, we investigate the number of emergency room consultations during the COVID-19 pandemic of 2020 in Germany compared to figures from the previous year. METHODS: Case numbers from calendar weeks 1 through 22 of the two consecutive years 2019 and 2020 were obtained from 29 university hospitals and 7 non-university hospitals in Germany. Information was also obtained on the patients' age, sex, and urgency, along with the type of case (outpatient/inpatient), admitting ward, and a small number of tracer diagnoses (I21, myocardial infarction; J44, COPD; and I61, I63, I64, G45, stroke /TIA), as well as on the number of COVID-19 cases and of tests performed for SARS-CoV-2, as a measure of the number of cases in which COVID-19 was suspected or at least included in the differential diagnoses. RESULTS: A total of 1 022 007 emergency room consultations were analyzed, of which 546 940 took place in 2019 and 475 067 in 2020. The number of consultations with a positive test for the COVID-19 pathogen was 3122. The total number of emergency room consultations in the observation period was 13% lower in 2020 than in 2019, with a maximum drop by 38% coinciding with the highest number of COVID-19 cases (calendar week 14; 572 cases). After the initiation of interpersonal contact restrictions in 2020, there was a marked drop in COVID-19 case numbers, by a mean of -240 cases per week per emergency room (95% confidence interval [-284; -128]). There was a rise in case numbers thereafter, by a mean of 17 patients per week [14; 19], and the number of cases of myocardial infarction returned fully to the level seen in 2019. CONCLUSION: In Germany, the COVID-19 pandemic led to a significant drop in medical emergencies of all kinds presenting to the nation's emergency departments. A recovery effect began to be seen as early as calendar week 15, but the levels seen in 2019 were not yet reached overall by calendar week 22; only the prevalence of myocardial infarction had renormalized by then. The reasons for this require further investigation.


Assuntos
Infecções por Coronavirus/epidemiologia , Emergências/epidemiologia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Pandemias , Pneumonia Viral/epidemiologia , Alemanha/epidemiologia , Humanos
7.
Khirurgiia (Mosk) ; (7): 6-11, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32736457

RESUMO

OBJECTIVE: To analyze morbidity and factors affecting mortality in emergency abdominal surgery in the Russian Federation. MATERIAL AND METHODS: The study included patients with acute abdominal diseases aged 18 years and older. All patients were hospitalized in emergency surgical care departments of 3.194 state healthcare institutions in 84 regions of the Russian Federation in 2018. Morbidity, surgical activity and mortality were analyzed. RESULTS: There were 680.337 cases of hospitalization in emergency surgical department, morbidity rate was 582 cases per 100 000. The most common emergency surgical diseases were acute appendicitis (142.3 cases per 100 000), acute cholecystitis (139.0 cases per 100 000) and acute pancreatitis (131.2 cases per 100 000). Surgery was performed in 399.051 (58.7%) patients. In-hospital mortality rate was 2.4% (16 051 cases). CONCLUSION: There are certain factors affecting mortality rate in acute abdominal diseases. The leading problems in organizing emergency surgical care in Russia are insufficient equipment of rural and small municipal surgical hospitals, different staffing with surgeons in rural areas and large cities and late hospitalization of patients.


Assuntos
Assistência à Saúde/estatística & dados numéricos , Doenças do Sistema Digestório/epidemiologia , Doenças do Sistema Digestório/cirurgia , Procedimentos Cirúrgicos do Sistema Digestório/estatística & dados numéricos , Abdome/cirurgia , Doença Aguda/epidemiologia , Doença Aguda/mortalidade , Doença Aguda/terapia , Adolescente , Adulto , Assistência à Saúde/organização & administração , Assistência à Saúde/normas , Doenças do Sistema Digestório/mortalidade , Procedimentos Cirúrgicos do Sistema Digestório/mortalidade , Emergências/epidemiologia , Mortalidade Hospitalar , Hospitalização/estatística & dados numéricos , Humanos , Morbidade , População Rural/estatística & dados numéricos , Federação Russa/epidemiologia , Adulto Jovem
8.
PLoS One ; 15(8): e0237751, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32817673

RESUMO

BACKGROUND: In the developed world, cardiovascular diseases still contribute to mortality and morbidity, leading to significantly increased deaths in recent years. Thus, it is necessary for a layperson to provide the best possible basic life support (BLS) until professional help is available. Since information on current BLS knowledge in Germany is not available, but necessary to be able to make targeted improvements in BLS education, we conducted this study. METHODS: A cohort survey using convenience sampling (non-probability) method was conducted with questions found in emergency medicine education. People coming to the emergency room of two big university hospitals located in the South (Munich) and western part (Cologne) of Germany were asked to participate in the survey between 2016 and 2017. Primary outcome measures were the proportion of correct answers for each emergency scenario in relationship to age, region, profession and first-aid training. RESULTS: Altogether 1003 people (504 from Cologne; 499 from Munich) took part in the questionnaire. 54.7% were female and 45.3% were male aging from 19 to 52 with a mean of 37.2 years. Although over 90% had taken part in first aid training, many people were lacking first aid knowledge, with less than 10% choosing the correct frequency for chest compression. Hereby demographic factors had a significant influence (p<0.05) in the given answers (Friedmann-and-Wilcoxon Test). CONCLUSION: Overall, results of our survey indicate a clear lack of BLS knowledge. With this information, targeted measures for improving BLS knowledge should be conducted. Additionally, further studies on the feasibility and efficiency of teaching methods are needed.


Assuntos
Reanimação Cardiopulmonar/métodos , Doenças Cardiovasculares/prevenção & controle , Emergências/epidemiologia , Medicina de Emergência/normas , Adulto , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/patologia , Feminino , Alemanha/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
10.
Clin Res Hepatol Gastroenterol ; 44(4): 579-585, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32788129

RESUMO

BACKGROUND AND STUDY AIMS: The coronavirus 2019 (COVID-19) pandemic has significantly affected medical care. We surmise that the number of urgent endoscopies outside regular working hours in the Paris area decreased as a result. The objective of this study was to describe the observed number of acts during the 2020 mandatory period of home isolation, compared to the values in prior years and the expected value for 2020. MATERIAL AND METHODS: We performed a multicenter cohort study to investigate the practice of urgent endoscopy acts, outside regular working hours, in Paris and its surrounding suburbs, in the setting of the COVID-19 pandemic. We collected the number of endoscopies performed between January 17th and April 17th 2018, 2019 and 2020. We then collected clinical, endoscopic and outcome variables from the patients of years 2019 and 2020. RESULTS: From March 17th to April 17th (during home isolation), the number of acts was respectively of 147 in 2018, 137 in 2019, and 79 in 2020, lower that the expected number of 142 (-44.0%). In 2020, the number of endoscopies for suspected gastrointestinal bleeding (GIB), and findings of variceal and non-variceal bleeding decreased by 52.1%, 69.2% and 43.1% respectively, after a month of home isolation. In-hospital death rate were similar. CONCLUSIONS: This study confirms that the urgent endoscopy caseload outside regular hours decreased nearly by half during the pandemic. Our results suggest a decreased number of endoscopies for suspected gastrointestinal bleeding, and findings of variceal and non-variceal bleeding.


Assuntos
Plantão Médico/estatística & dados numéricos , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Emergências/epidemiologia , Endoscopia/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Paris/epidemiologia , Fatores de Tempo
11.
S Afr Med J ; 110(5): 355-359, 2020 04 16.
Artigo em Inglês | MEDLINE | ID: mdl-32657716

RESUMO

Since the World Health Organization declared coronavirus disease 2019 (COVID-19) a Public Health Emergency of International Concern, COVID-19 infection and the associated mortality have increased exponentially, globally. South Africa (SA) is no exception. Concerns abound over whether SA's healthcare system can withstand a demand for care that is disproportionate to current resources, both in the state and private health sectors. While healthcare professionals in SA have become resilient and adept at making difficult decisions in the face of resource limitations, a surge in COVID-19 cases could place a severe strain on the country's critical care services and necessitate unprecedented rationing decisions. This could occur at two critical points: access to ventilation, and withdrawal of intensive care in non- responsive or deteriorating cases. The ethical dimensions of decision-making at both junctures merit urgent consideration.


Assuntos
Infecções por Coronavirus , Cuidados Críticos , Serviço Hospitalar de Emergência/organização & administração , Alocação de Recursos para a Atenção à Saúde/tendências , Pandemias , Pneumonia Viral , Alocação de Recursos , Triagem , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Cuidados Críticos/ética , Cuidados Críticos/métodos , Cuidados Críticos/organização & administração , Emergências/epidemiologia , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/terapia , Alocação de Recursos/ética , Alocação de Recursos/organização & administração , África do Sul/epidemiologia , Triagem/ética , Triagem/organização & administração , Ventiladores Mecânicos/provisão & distribução
12.
Ital J Pediatr ; 46(1): 87, 2020 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-32600464

RESUMO

Since the outbreak of COVID-19 pandemic, the number of cases registered worldwide has risen to over 3 million. While COVID-19 per se does not seem to represent a significant threat to the pediatric population, which generally presents a benign course and a low lethality, the current emergency might negatively affect the care of pediatric patients and overall children welfare. In particular, the fear of contracting COVID-19 may determine a delayed access to pediatric emergency facilities. Present report focuses on the experience of The Children Hospital in Alessandria (northern Italy). The authors document a drop in the number of admissions to the emergency department (A&E) during the lock-down. They will also focus on four emblematic cases of pediatric patients who were seen to our A&E in severe conditions. All these cases share a significant diagnostic delay caused by the parents' reluctance to seek medical attention, seen as a potential risk factor for COVID-19 contagion. None was found positive to all COVID-19 swab or immunologic testing. All in all, our data strongly support the importance of promoting a direct and timely interaction between patients and medical staff, to prevent the fear of COVID-19 from causing more harm than the virus itself.


Assuntos
Infecções por Coronavirus/epidemiologia , Diagnóstico Tardio/estatística & dados numéricos , Serviço Hospitalar de Emergência/estatística & dados numéricos , Controle de Infecções/organização & administração , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Criança , Bem-Estar da Criança , Infecções por Coronavirus/prevenção & controle , Emergências/epidemiologia , Feminino , Hospitais Pediátricos , Humanos , Itália/epidemiologia , Masculino , Pandemias/prevenção & controle , Admissão do Paciente/estatística & dados numéricos , Pediatria/organização & administração , Pneumonia Viral/prevenção & controle , Desenvolvimento de Programas , Medição de Risco
17.
J Fr Ophtalmol ; 43(7): 577-585, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32564983

RESUMO

This prospective observational cohort study is based on the first 500 patients who requested emergency teleconsultation during the initial days of the COVID-19 lockdown in Paris, France between 20 March and 10 April 2020. It is the first study to assess the utility of emergency teleophthalmology with a simple smartphone application or web browser and a webcam to manage emergency eye care in a population with sudden restricted access to ophthalmologists. In this study, every patient who asked for an ophthalmic emergency consultation in a single specialized center in Paris ('SOS Œil') first had to undergo a teleconsultation appointment to evaluate the indication for a physical consultation to preserve lockdown. Under medical advice only, a physical appointment was given within a day (if necessary). The aim of the study was to describe the population and diagnoses and evaluate the main judgment criteria, defined as the 'ability of teleconsultation to properly indicate a physical consultation for fair diagnosis and treatment in eye emergencies'. This organization has permitted physicians and patients to preserve social distancing while avoiding 3 or 4 physical consultations per person. Notably, 27% of teleconsultations were followed by a physical appointment. There was a mean 4.12-day delay between symptom apparition and consultation, and less than 1 day for traumas, superficial corneal foreign body and neuro-ophthalmological emergencies. There was a 96% sensitivity and 95% specificity to properly evaluate the indication of a physical consultation and only 1.0% misdiagnoses that lead to delayed care. Hence, teleconsultation maintained satisfactory healthcare access to patients with severe ophthalmological disorders while preserving social distancing and sanitary precautions. Therefore, teleconsultation may be seriously considered as a way to efficiently regulate ophthalmic emergencies, especially for patients with limited access to a specialist.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Oftalmologia/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Quarentena , Telemedicina/estatística & dados numéricos , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Agendamento de Consultas , Criança , Pré-Escolar , Erros de Diagnóstico , Emergências/epidemiologia , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Oftalmologia/organização & administração , Pandemias , Paris/epidemiologia , Estudos Prospectivos , Sensibilidade e Especificidade , Distribuição por Sexo , Telemedicina/métodos , Adulto Jovem
19.
Eur Heart J Acute Cardiovasc Care ; 9(3): 222-228, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: covidwho-197585

RESUMO

Hospitals play a critical role in providing communities with essential medical care during all types of disaster. Depending on their scope and nature, disasters can lead to a rapidly increasing service demand that can overwhelm the functional capacity and safety of hospitals and the healthcare system at large. Planning during the community outbreak of coronavirus disease 2019 (Covid-19) is critical for maintaining healthcare services during our response. This paper describes, besides general measures in times of a pandemic, also the necessary changes in the invasive diagnosis and treatment of patients presenting with different entities of acute coronary syndromes including structural adaptations (networks, spokes and hub centres) and therapeutic adjustments.


Assuntos
Síndrome Coronariana Aguda/epidemiologia , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/complicações , Serviço Hospitalar de Emergência/organização & administração , Pneumonia Viral/complicações , Síndrome Coronariana Aguda/diagnóstico , Síndrome Coronariana Aguda/terapia , Defesa Civil/organização & administração , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/prevenção & controle , Assistência à Saúde/organização & administração , Assistência à Saúde/estatística & dados numéricos , Desastres , Surtos de Doenças/estatística & dados numéricos , Emergências/epidemiologia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Utilização de Instalações e Serviços/estatística & dados numéricos , Utilização de Instalações e Serviços/tendências , Hospitais , Humanos , Pandemias , Segurança , Capacidade de Resposta ante Emergências/estatística & dados numéricos
20.
Eur Heart J Acute Cardiovasc Care ; 9(3): 222-228, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32375487

RESUMO

Hospitals play a critical role in providing communities with essential medical care during all types of disaster. Depending on their scope and nature, disasters can lead to a rapidly increasing service demand that can overwhelm the functional capacity and safety of hospitals and the healthcare system at large. Planning during the community outbreak of coronavirus disease 2019 (Covid-19) is critical for maintaining healthcare services during our response. This paper describes, besides general measures in times of a pandemic, also the necessary changes in the invasive diagnosis and treatment of patients presenting with different entities of acute coronary syndromes including structural adaptations (networks, spokes and hub centres) and therapeutic adjustments.


Assuntos
Síndrome Coronariana Aguda/epidemiologia , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/complicações , Serviço Hospitalar de Emergência/organização & administração , Pneumonia Viral/complicações , Síndrome Coronariana Aguda/diagnóstico , Síndrome Coronariana Aguda/terapia , Defesa Civil/organização & administração , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/prevenção & controle , Assistência à Saúde/organização & administração , Assistência à Saúde/estatística & dados numéricos , Desastres , Surtos de Doenças/estatística & dados numéricos , Emergências/epidemiologia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Utilização de Instalações e Serviços/estatística & dados numéricos , Utilização de Instalações e Serviços/tendências , Hospitais , Humanos , Pandemias , Segurança , Capacidade de Resposta ante Emergências/estatística & dados numéricos
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