Influence of the <scp>COVID</scp>‐19 outbreak on transportation of pregnant women in an emergency medical service system: Population‐based, <scp>ORION</scp> registry

Ota, Koshi; Nishioka, Daisuke; Katayama, Yusuke; Kitamura, Tetsuhisa; Masui, Jun; Ota, Kanna; Nitta, Masahiko; Matsuoka, Tetsuya; Takasu, Akira

doi:10.1002/ijgo.14128

Cited by 8 publications

(11 citation statements)

References 14 publications

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“…There was a strong association of difficult-to-transfer cases with patients suspected to have COVID-19 in all age patients, but, interestingly, it was not applicable in children (Table 5). As a previous study showed, hospitals were most likely to accept patients of all ages in the morning (9 am to 10 am), on Fridays, and in the month of June, but this was not applicable to children (Table 5) [11]. In children, the year 2020 was not significantly associated with difficult-to-transfer cases, but the year was significantly associated with hospital admission at the ED (RR 1.14, 95% CI 1.10 to 1.18, P < 0.001), even though children had a reduced RR for hospital admission from the ED (RR 0.51, 95% CI 0.50 to 0.51, P < 0.001) (Supplemental Table 2 and Supplemental Table 4).…”

Section: Discussionmentioning

confidence: 94%

Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study

Ota

Nishioka

Katayama³

et al. 2022

BMC Emerg Med

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Background Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2, has spread rapidly around the world. Objective To assess the effect of the COVID-19 pandemic on the emergency medical service (EMS) and hospital admission course for children transported by ambulance. Methods This study was a retrospective, descriptive study with a study period from January 1, 2018 to December 31, 2020 using the Osaka Emergency Information Research Intelligent Operation Network (ORION) system. All children who were transported by ambulance in Osaka Prefecture were included. The main outcome of this study was the rate of difficult-to-transfer cases, which was calculated by univariate and multivariate Poisson regression analyses. Results Over the 3 years between January 1, 2018 and December 31 2020, 1,436,212 patients were transported to hospitals by ambulances in Osaka Prefecture, with children accounting for 102,473 (37,064, 39,590, and 25,819, in 2018, 2019, and 2020, respectively). Poisson regression analysis showed that children were negatively associated with difficult-to-transfer cases (risk ratio (RR) 0.35, 95% CI 0.33 to 0.37). With reference to 2018, 2020 was not significantly associated with difficult-to-transfer cases in children (RR 1.14, 95% CI 0.99 to 1.32, P = 0.075), but was significantly related (RR 1.24, 95% CI 1.21 to 1.27, P < 0.001) to difficult-to-transfer cases in the general population. Conclusion Children were consistently associated with a reduced RR for difficult-to-transfer cases, even in the COVID-19 pandemic in 2020.

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Section: Discussionmentioning

confidence: 94%

Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study

Ota

Nishioka

Katayama³

et al. 2022

BMC Emerg Med

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“…To date, at least to the best of our knowledge, no study has examined emergency transport for obstetrics and gynecology cases on a regional basis. In Osaka, one of the largest cities in Japan, the number of cases of difficulty in transporting pregnant women was lower than that of other cases and remained the same even under pandemic conditions (12).…”

Section: Discussionmentioning

confidence: 92%

Impact of COVID‑19 infection on emergency obstetric and gynecological transport

Tsuzuki,

Minami,

Nagai

et al. 2024

World Acad Sci J

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The spread of COVID-19 affected emergency medical care worldwide. Studies have observed various impacts of COVID-19, depending on the intensity of infection control measures, the number of medical facilities and the demographic composition of the region. However, reports on the impact on emergency medicine in rural cities or in the field of obstetrics and gynecology are limited. Therefore, the present study examined the impact of COVID-19 infection on the emergency transfer of patients with obstetric and gynecological diseases, where medical resources are limited. A cross-sectional study was conducted using a publicly available database. From 2019 to 2021, there were 635 obstetrics and gynecology transfers, which were divided into obstetric and gynecological diseases. The year 2019 was defined as the pre-pandemic period, while the other 2 years were labeled as the post-pandemic period. The number of transports, post-transportation outcomes and the percentage of transfers and the time required for transport were examined. The number of transfers did not change significantly during the post-pandemic period. In obstetric diseases, the number of transported patients who did not require hospitalization increased, and transfers from primary facilities decreased during the post-pandemic period. There was no change in severity or transport type for gynecological diseases, nor in the time required for transport for both obstetric and gynecological cases. The impact of infectious diseases on emergency transfers for obstetric and gynecological cases was considered low. Whether the increase in COVID-19 cases not requiring hospitalization and the decrease in transfers in obstetrics cases were due to the impact of infectious diseases remains unclear; thus, further studies are required.

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“…Children and pregnant women were found to have a negative association with categorization as di cultto-transport cases, but univariate logistic analysis showed greater di culty with hospitals accepting those patients in 2021 compared to 2019, differing from previous studies. 3,4 Each COVID-19 wave in Osaka triggered a medical crisis, where non-COVID-19 medical services such as emergency medicine were temporarily halted, so populations of children and pregnant women might have encountered di culty with transportion. 24 Elderly patients (>65 years of age) were found to have an independent association with increased mortality in the ED.…”

Section: Discussionmentioning

confidence: 99%

Influence of the COVID-19 outbreak in vulnerable patients (pediatric patients, pregnant women, and elderly patients) on an emergency medical service system: a pre- and post-COVID-19 pandemic comparative study using the population-based ORION registry

Ota,

Nitta,

Komeya

et al. 2023

Preprint

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Background Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread all over the world. Objective To assess the influence of the COVID-19 pandemic on emergency medical services (EMS) for vulnerable patients transported by ambulance. Methods This study was a retrospective, descriptive study with a study period from 1 January 2019 to 31 December 2021 using the Osaka Emergency Information Research Intelligent Operation Network (ORION) system. We included all pediatric patients, pregnant women, and elderly patients ≥65 years of age transported by ambulance in Osaka Prefecture. The main outcome of this study was difficult-to-transport cases. We calculated the rate of difficult-to-transport cases under several conditions. Results For the two year-long periods of 1 January 2019 to 31 December 2019 and 1 January 2021 to 31 December 2021, a total of 887,647 patients were transported to hospital by ambulance in Osaka Prefecture. The total number of vulnerable patients was 579,815 (304,882 in 2019 and 274,933 in 2021). Multivariate logistic regression analysis showed that difficult-to-transport cases were significantly more frequent in 2021 than in 2019. Difficult-to-transport cases were significantly less frequent in the vulnerable population than in the non-vulnerable population (adjusted odds ratio 0.81, 95% confidence interval 0.80–0.83; P < 0.001). Conclusion During the pandemic (2021), difficult-to-transport cases were more frequent compared to pre-pandemic (2019), however, vulnerable patients were not the cause of difficulties in obtaining hospital acceptance for transport.

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Influence of the COVID‐19 outbreak on transportation of pregnant women in an emergency medical service system: Population‐based, ORION registry

Cited by 8 publications

References 14 publications

Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study

Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study

Impact of COVID‑19 infection on emergency obstetric and gynecological transport

Influence of the COVID-19 outbreak in vulnerable patients (pediatric patients, pregnant women, and elderly patients) on an emergency medical service system: a pre- and post-COVID-19 pandemic comparative study using the population-based ORION registry

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