Changes in the Visits to Emergency Depart Ment
Of Non-Infect Ious Hospita L During the Early Cov Id-19
State of Epidemic

Chourasia, Goutam; Sycz, Wiesław Krzysztof; Wolniakowski, Igor; Dudek, Krzysztof; Porębska, Barbara; Moczarska, Jarka; Budrewicz, Kataryna; Wizowska, Joanna; Nadolny, Klaudiusz; Sokołowski, Janusz; Zyśko, Dorota

doi:10.36740/emems202002104

Cited by 4 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Attendance at the ED was less during the pandemic period than during the non-pandemic period. This is concordant with reports of the other authors and with data derived from the ED of the University Hospital from the early phase of the pandemic [ 4 ]. The total number of patients admitted to the ED at both the University Hospital and the Copernicus Memorial Hospital was lower in 2020 than in 2019, which is in line with the findings of other authors [ 8 , 22 ].…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

The Impact of COVID-19 on Admissions and Management of Patients with Atrial Fibrillation Episodes in the Emergency Department

Bilaszewski

Timler

Budrewicz

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Background: During the COVID-19 pandemic, the number of admissions to the emergency department (ED) due to a primary diagnosis of atrial fibrillation (AF) has decreased when compared to pre-pandemic times. The principal aim of the study was to assess the frequency of SARS-CoV-2 infections and sinus rhythm restoration among patients who arrived at the ED with AF. Secondary aims included determining whether patients arriving at the ED principally due to AF delayed their presentations and whether the frequency of successful cardioversion for AF was decreased during the pandemic period. Materials and Methods: A retrospective analysis of medical records of patients admitted to two hospital EDs due to AF during July–December 2019 (pre-pandemic period) versus July–December 2020 (pandemic period) was performed. Results: During the study periods, 601 ED visits by 497 patients were made due to the primary diagnosis of AF. The patients were aged 71.2+/−13.5 years and 51.3% were male. The duration of an AF episode before the ED admission was 10 h (4.5–30 h) during the pandemic period vs. 5 h (3–24 h) during the non-pandemic period (p = 0.001). A shorter duration of the AF episode before ED admission was associated with the successful restoration of the sinus rhythm. During the pandemic period, among patients with short-lasting AF who were not treated with Phenazolinum, the restoration of the sinus rhythm was more frequent in the Copernicus Memorial Hospital than in the University Hospital (p = 0.026). A positive SARS-CoV-2 test was found in 5 (1%) patients, while 2 other patients (0.5%) had a prior diagnosis of COVID-19 disease noted in their medical history. Conclusions: 1. The number of AF episodes treated in these two EDs was lower during the pandemic than non-pandemic period. 2. The patients with AF appeared at the ED later after AF onset in the pandemic period. 3. Successful cardioversion of atrial fibrillation was more frequent during the pre-pandemic period in one of the two hospitals. 4. A difference of approaches to the treatment of short-lasting AF episodes between EDs during the pandemic period may exist between these two EDs. 5. The patients with SARS-CoV-2 infection during the second wave of the COVID-19 pandemic constituted a small percentage of the patients admitted to EDs due to an AF episode.

show abstract

Section: Discussionsupporting

confidence: 93%

“…Nosocomial SARS-CoV-2 infection among hospitalized patients is common [ 3 ]. Patients’ awareness of this threat could make individuals reluctant to come to hospitals, not only for diagnostic tests but also for treatment [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of COVID-19 on Admissions and Management of Patients with Atrial Fibrillation Episodes in the Emergency Department

Bilaszewski

Timler

Budrewicz

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

Admissions to the Emergency Department Due to Atrial Fibrillation/Atrial Flutter Incidents during the Third Wave of COVID-19 Pandemic

Chourasia

Zyśko

Wizowska

et al. 2022

JPM

View full text Add to dashboard Cite

(1) Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection increases the risk of atrial fibrillation/flutter (AF/AFL) incident. The study aimed to present the characteristics of admissions to the emergency department (ED) due to AF/AFL incidents during the third COVID-19 pandemic wave. (2) Methods: A retrospective analysis of the medical records of the ED patients: 8399 during 3 months of the second and 11,144 during the 3 months of the third pandemic wave. (3) Results: SARS-CoV-2 positive patients there were 295 (3.5%) during the second wave and 692 (6.2%) during the third wave (p < 0.001). Among patients with SARS-CoV-2 infection, there were 44 (14.9%) patients with known AF/AFL during the second wave and 75 (10.8%) during the third wave, respectively (0.07). There were 116 visits with a diagnosis of AF/AFL incident during the third wave (study group) and 76 visits during the second wave (control group). The SARS-CoV-2 test was positive in 11 (9.5%) visits in the study group and in 1 (1.3%) visit in the control group p = 0.047. During the third wave, the patients with AF/AFL incidents with positive tests were older and more often had new-onset AF/AFL than those with negative tests: 76.3 (13.2) years vs. 71.8 (12.6) years; and 4 (36.4%) patients vs. 7 (7.6%) patients, respectively. (5) Conclusions: During the third pandemic wave, the number of patients with SARS-CoV-2 infection increased in comparison to the second wave. Additionally, among patients with AF/AFL incidents, the percentage of SARS-CoV-2-positive patients increased. During the third wave, the patients with positive tests and AF/AFL incident were older and more often had new-onset AF/AFL than those with AF/AFL incident and negative test which indicate the arrhythmogenic effect at the onset of the disease, especially in the older population.

show abstract

Clinical characteristics and outcomes of patients admitted with atrial fibrillation/atrial flutter to the Emergency Department

Chourasia

Zyśko

2023

Emerg Med Serv

View full text Add to dashboard Cite

Aim: To determine the clinical characteristics and outcomes of patients with atrial fibrillation/atrial flutter (AF) admitted to the Emergency Department (ED). Material and methods: Patients with AF at ED admission with cardiac palpitations only, thromboembolic complications, hemorrhagic complications, hemo¬dynamic instability, other non-traumatic diseases, and trauma. Demographics, vitals, comorbidities, ECG, laboratory findings, treatment, and survival were analyzed. Results: There were 247 patients (55.1% women, 44.9% men) admitted to the ED aged 73.8±13.0 . A total of 226 (79.8%) patients were brought to the ED by Emergency Medical Services, and 121 (49%) had palpitations as a reason for admission. The hospitalization rate was 34%. About 60% of patients were on antithrombotic treatment. Among 45 patients with AF discharged home who were not previously treated with anticoagulants, all but three patients without indications for antithrombotic therapy, received a recommendation to be treated with anticoagulants, but only half of them received a prescription. During the follow-up of 1025 (773-1197), days died 67 (27.1%) patients, and 30-day mortality was 5.3%. The lowest mortality was found in patients admitted due to cardiac palpitations. Conclusions:1. The patients with AF admitted to the ED constitute a group of patients with a high hospitalization rate. 2. The reason for the admission to the ED of patients with AF divides this population into subgroups with different outcomes in terms of mortality and hospitalization.3. The patients discharged home who did not have been earlier treated with anticoagulants received suitable recommendations, however, only about half of them received a prescription for an anticoagulant.

show abstract

Changes in the Visits to Emergency Depart Ment Of Non-Infect Ious Hospita L During the Early Cov Id-19 State of Epidemic

Cited by 4 publications

References 5 publications

The Impact of COVID-19 on Admissions and Management of Patients with Atrial Fibrillation Episodes in the Emergency Department

The Impact of COVID-19 on Admissions and Management of Patients with Atrial Fibrillation Episodes in the Emergency Department

Admissions to the Emergency Department Due to Atrial Fibrillation/Atrial Flutter Incidents during the Third Wave of COVID-19 Pandemic

Clinical characteristics and outcomes of patients admitted with atrial fibrillation/atrial flutter to the Emergency Department

Contact Info

Product

Resources

About