COVID-19: Protecting Healthcare Workers is a priority

Chirico, Francesco; Nucera, Gabriella; Magnavita, Nicola

doi:10.1017/ice.2020.148

Cited by 179 publications

(156 citation statements)

References 2 publications

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Section: Introductionmentioning

confidence: 99%

“…Hospitals were forced to adjust dramatically and often throughout the early weeks of the pandemic [7,8]. Making patients and employees safe and feel safe became more of a priority than ever before [7]. Regardless, patients still often became convinced that a trip to the emergency room would put them at risk and should be avoided, resulting in delayed care, even to the point of dying at home [9].…”

Section: Introductionmentioning

confidence: 99%

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Patients avoided important care during the early weeks of the coronavirus pandemic: diverticulitis patients were more likely to present with an abscess on CT

Zintsmaster

Myers

2020

Emerg Radiol

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Purpose To evaluate the frequency with which patients with an urgent health concern, specifically diverticulitis, avoided appropriate medical care during the early weeks of the coronavirus pandemic of 2020 and to study the consequences of the resultant delay in care, the incidence of an associated abscess. Methods This study was institutional review board approved. Reports for CT studies with findings of newly diagnosed diverticulitis within Henry Ford Health System during the early weeks of the coronavirus pandemic of 2020 were reviewed and compared with the same time period in 2019. Total cases of diverticulitis on CT were compared, as well as the prevalence of an associated abscess. A chi-squared analysis was performed to determine the statistical significance of the percentage of patients presenting with an abscess in each year. Results During the early weeks of the coronavirus pandemic, 120 patients were identified with CT findings of newly diagnosed diverticulitis with 11.7% of those patients (14 patients) presenting with an associated abscess. During the same time period in 2019, many more CT studies with newly diagnosed diverticulitis were obtained (339), and, compared to 2020, less than half the percentage of those patients had an associated abscess (4.4% or 15 patients). Conclusion Patients with urgent health concerns avoided appropriate and necessary care during the early weeks of the coronavirus pandemic. While non-COVID-19 emergency visits were diminished, patients who did present with diverticulitis were more likely to present with greater disease severity as manifested by an associated abscess. Patients must be encouraged to seek care when appropriate and need reassurance that hospitals and their emergency departments are safe to visit. Furthermore, emergency physicians and radiologists in particular should be vigilant during times when emergency volumes are low, such as a future surge in coronavirus patients, other pandemics, snow storms, and holidays as the patients who do present for care are more likely to present at later stages and with serious complications.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patients avoided important care during the early weeks of the coronavirus pandemic: diverticulitis patients were more likely to present with an abscess on CT

Zintsmaster

Myers

2020

Emerg Radiol

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“…The emergence of COVID-19 is the most challenging threat to international public health. 1,2 The epidemic had a vast impact on healthcare personnel (HCP), who are at risk for contracting diseases and transmission to their patients and families. The uncertainty about the mode of transmission, including infectivity of asymptomatic and presymptomatic patients, may have created substantial stress in HCP who provide care for known or suspected COVID-19 patients.…”

mentioning

confidence: 99%

Impact of anxiety and fear for COVID-19 toward infection control practices among Thai healthcare workers

Apisarnthanarak

Siripraparat³

et al. 2020

Infect. Control Hosp. Epidemiol.

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“…In chronological order, the modifications made to the organization of the consultation were the set-up of telework for secretaries (W13), set-up of teleconsultations using Odys web (Pulsy) for the surgeons (W12) and physiotherapists (W16), safety regulations for use of nitrogen monoxide and oxygen (MEOPA) in a ventilated room (W14). A dedicated protocol for radiological examinations of COVID-19 positive patients required calling ahead to the radiology department to set up the appropriate protective measures and accompanying the patient to and from the radiology department to prevent contaminations along the way (W14) [12] , [13] . We started to increase outpatient consultation slots of one week after the lockdown was eased (W21).…”

Section: Resultsmentioning

confidence: 99%

Organization of outpatient consultations at a hand surgery department in a French university hospital during the COVID-19 lockdown

Gabriel

Mathiot

Boumediane

et al. 2021

Hand Surgery and Rehabilitation

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The COVID-19 health crisis has greatly impacted the organization of outpatient consultations, especially in hand surgery. Five reorganization stages were described during the crisis (from week 11 to week 21 in 2020): preparatory stage, 1 st organizational stage, wait-and-see stage, 2 nd organizational stage, and progressive return stage. The number of patients seen on-site decreased 64% in 2020 compared to 2019, while 78% of consultations were canceled. The logistics (teleconsultation, dedicated COVID-19 patient pathways) and human resources (sick leave, telework, reassignment to other departments) were adapted to ensure that patients who are usually seen in our hand surgery department received adequate care.

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COVID-19: Protecting Healthcare Workers is a priority

Cited by 179 publications

References 2 publications

Patients avoided important care during the early weeks of the coronavirus pandemic: diverticulitis patients were more likely to present with an abscess on CT

Patients avoided important care during the early weeks of the coronavirus pandemic: diverticulitis patients were more likely to present with an abscess on CT

Impact of anxiety and fear for COVID-19 toward infection control practices among Thai healthcare workers

Organization of outpatient consultations at a hand surgery department in a French university hospital during the COVID-19 lockdown

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