Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital—Single Center Observational Study

Abstract

Background: The outbreak of the Coronavirus Disease 2019 (COVID-19) pandemic has caused many significant social and economic changes. The consecutive waves of the epidemic in various countries have had dissimilar courses depending on the methods used to combat it. The aim of this study was to determine the dynamics of the third wave of COVID-19 from the perspective of emergency departments (ED). Methods: This was a retrospective review of medical records from ED. The authors have identified the most frequent symptoms. Prognostic factors have been chosen—prognostic scales, length of stay (LOS)—and a number of resources required have been calculated. Results: As the time passed, there were fewer patients and they presented mild symptoms. A statistically significant difference was observed in the median of blood oxygenation measurement (p = 0.00009), CRP level (p = 0.0016), and admission rate. Patients admitted to the hospital required more resources at ED. LOS was shorter in patients discharged home (p < 0.0001). Conclusions: The blood oxygen saturation (SPO2) and CPR levels can be helpful in decision-making regarding medical treatment. The fast-track for patients in good clinical condition may shorten the duration of stay in ED, and reduce the number of required resources.

Differences in symptoms and utility of MEWS score in geriatric patients with COVID-19

“…Secondly, there was a need to transport patients to COVID-19-dedicated hospitals or wards, which were also located outside the facility. Furthermore, patients admitted to the hospital required more resources than those discharged home [19].…”

COVID-19 Delta Wave Caused Early Overburden of Hospital Capacity in the Bulgarian Healthcare System in 2021

“…This is a linear approximation of a nonlinear relationship, which is similar to the approximation a tangent line makes to a curve around the point of tangency, or a plane, that is tangent to a surface-which is our case. We are constructing a plane in three dimensions-one is the active cases, the other is the ratio, and the third dimension is 𝐻 𝑎, 𝑟 in (7). This is a local The model here says that on average, 13.027% of active cases become hospitalized above some number of patients, which depend linearly on the ratio r 60+ .…”

“…Furthermore, Klosiewicz et al showed dynamics of the third wave of COVID-19 in a Polish single-center study. Therefore, new biomarkers are needed for decision making regarding medical treatment to shorten the duration of hospitalization in emergency departments, such as blood oxygen saturation [7].…”

How has the COVID-19 pandemic affected patients with stroke? An emergency department perspective

“…It is worth noticing that providing medical help to patients in life-threatening conditions was continued regardless of the number of COVID-19 patients. However, the changing profile of admissions and the need for increased sanitary rigor has forced a change in the organization of emergency departments (ED) [2]. Early detection and isolation of patients with COVID-19 was crucial to be able to provide appropriate help to patients with other diseases [3,4].…”