Analysis of the evolution of patients attended in Spanish emergency departments during the first wave of the pandemic
Por:
Alquezar-Arbe, A, Miro, O, Pinera, P, Jacob, J, Martin, A, Montava, IA, Llorens, P, Jimenez, S, Burillo-Putze, G, Garcia-Lamberechts, EJ, Martin-Sanchez, FJ, del Castillo, JG
Publicada:
1 may 2021
Resumen:
Background. To describe the number of visits (total and per COVID-19) attended by the Spanish hospital emergency departments (EDs) during March and April 2020 compared to the same period in 2019, and to calculate the quantitative changes in healthcare activity and investigate the possible influence of hospital size and regional COVID-19 seroprevalence.
Method. Cross-sectional study that analyzes the number of visits to Spanish public EDs, reported through a survey of ED chiefs during the study periods. Changes in healthcare activity were described in each autonomous community and compared according to hospital size and the regional impact of the pandemic.
Results. The 66% of the 283 Spanish EDs participated in the study. The total number of patients attended decreased to 49.2% (<30% in the Castilla-La Mancha region), with a 60 % reduction in non-COVID-19 patients (reduction <50% only in the regions of Asturias and Extremadura). While there were no differences in changes of healthcare activity according to the size of the hospital, there were differences in relation to the regional impact of the pandemic, with a direct correlation related to the decrease in non-COVID-19 activity (the greater the impact, the greater the decrease; R-2 = 0.05; p = 0.002) and an inverse correlation to the overall activity (the greater the impact, the lesser the decrease; R-2 = 0.05; p = 0.002).
Conclusion. There was a very significant decrease in the number of ED visits during the first pandemic wave, although this decrease cannot be explained solely by the local incidence of the pandemic.
Filiaciones:
Alquezar-Arbe, A:
Hosp Santa Creu & Sant Pau, Serv Urgencias, Barcelona, Spain
Miro, O:
Univ Barcelona, Hosp Clin, IDIBAPS, Serv Urgencias, Barcelona, Spain
Pinera, P:
Hosp Gen Univ Reina Sofia, Serv Urgencias, Murcia, Spain
Jacob, J:
Hosp Univ Bellvitge, Serv Urgencias, Barcelona, Spain
Martin, A:
Hosp Univ Mostoles, Serv Urgencias, Madrid, Spain
Montava, IA:
Hosp Santa Creu & Sant Pau, Serv Urgencias, Barcelona, Spain
Llorens, P:
Univ Miguel Hernandez, Hosp Gen Univ Alicante, Serv Urgencias, Alicante, Spain
Inst Invest Sanitaria & Biomed Alicante ISABIAL, Alicante, Spain
Jimenez, S:
Univ Barcelona, Hosp Clin, IDIBAPS, Serv Urgencias, Barcelona, Spain
Burillo-Putze, G:
Hosp Univ Canarias, Serv Urgencias, Tenerife, Spain
Garcia-Lamberechts, EJ:
Univ Complutense, Serv Urgencias, Hosp Clin San Carlos, IDISSC, Madrid, Spain
Martin-Sanchez, FJ:
Univ Complutense, Serv Urgencias, Hosp Clin San Carlos, IDISSC, Madrid, Spain
del Castillo, JG:
Univ Complutense, Serv Urgencias, Hosp Clin San Carlos, IDISSC, Madrid, Spain
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