Nisan 2022
COVID -19 pandemi sürecinin üçüncü basamak gastroenteroloji servisi yatislari üzerine etkisi
Effect of COVID-19 pandemic on hospitalization of tertiary hospital gastroenterology unit
- Ana Sayfa
- Sayılar
- Nisan 2022
- COVID -19 pandemi sürecinin üçüncü basamak gastroenteroloji servisi yatislari üzerine etkisi...
Özet
ÖZET • Giris ve Amaç: Siddetli akut solunum yolu sendromu koronavirüsü-2’nin neden oldugu COVID-19 ilk olarak Çin’in Hubei Eyaletinin Wuhan sehrinde 2019 Aralik ayinda ortaya çikan bir hastaliktir. Dünya Saglik Örgütü, salginin dünyada yayilmasi ile 11 Mart 2020 tarihinde COVID-19salginini pandemi ilan etti. Pandemi ilani, hem ülkemizde hem de diger ülkelerde normal saglik hizmetleri ve COVID-19 pandemisiyle mücadeleninayni anda aksatilmadan yürütülmesini zorunlu kildi. Biz de pandemi ilaniyla baslayan pandemi döneminin Antalya Egitim ve Arastirma HastanesiGastroenteroloji servisi hasta yatislarinin sayisal olarak, yatis süreleri, yatirilan servis (acil/poliklinik) tani dagilimlari açisindan nasil etkilendiginigörmek için bu çalismayi planladik. Gereç ve Yöntem: Çalismamiza Nisan - Kasim 2020 tarihleri ile 2019 yilinin ayni aylarinda gastroenterolojiservisine yatan hastalari dahil ettik. Hastalarin bilgileri ve tanilari hastane bilgi yönetim sisteminde kayitli olan elektronik dosyalarindan alindi.Çalismamiza toplam 1321 hasta dahil edildi. Çalismaya katilanlarin 646’si (%49) pandemi öncesi dönemde, 675’i (%51) pandemi dönemindeyatan hastalardi. Bulgular: Yatirilan hasta sayisi olarak her iki dönem arasinda fark yoktu (p: 0.113). Yatis süresi pandemi döneminde pandemiöncesi döneme göre daha kisaydi (pandemi öncesi dönem 6.4 ± 5.5 gün vs. pandemi dönemi 5.7 ± 4.9, p: 0.028). Hastalar her iki dönemde dedaha çok acil servisten yatirilmislardi (pandemi öncesi dönem %74.6 vs pandemi dönemi %78 p: 0.210). Tani dagilimina bakildiginda hastalarpandemi öncesi 31 farkli tani ile, pandemi sonrasi 30 farkli tani ile yatirilmisti. Her iki dönemde de en sik üst gastrointestinal sistem kanamasiile yatirilmislardi. Pandemi öncesi dönemde 134 (%20.3) ve pandemi döneminde de 129 (%18.8) hasta üst gastrointestinal sistem kanamasinedeniyle servise yatirilmisti. Her iki dönem arasinda bu tani açisindan anlamli fark yoktu (p: 0.488). Sonuç: COVID-19 pandemisi 3. basamakgastroenteroloji servis hasta yatislarini sayisal olarak, yatirildiklari servis ve tani dagilimi açisindan etkilememistir. Yatis süresini ise kisaltmistir.
Abstract
ABSTRACT • Background and Aims: Coronavirus disease (COVID-19), caused by the SARS-CoV-2, first emerged in December 2019 inWuhan City, Hubei Province of China. The World Health Organization declared the COVID-19 outbreak a pandemic on March 11, 2020. The declaration of the pandemic made it necessary to conduct normal health services and fight the COVID-19 spread, both in our country and in other countries, without interruption. This study aimed to examine how the pandemic period was affected numerically by hospitalizations in Antalya Trainingand Research Hospital Gastroenterology unit, length of stay, and diagnosis distribution of hospitalized service (emergency/polyclinic). Materialsand Methods: We included patients admitted to the gastroenterology department between April and November 2020 and the correspondingperiod in 2019. Information and diagnoses of patients were obtained from the electronic files registered in the hospital information managementsystem. This study included a total of 1321 patients, of which 646 (49%) and 675 (51%) were hospitalized during the pre-pandemic and pandemicperiods, respectively. Results: No difference was found between the two periods in terms of the number of hospitalized patients (p = 0.113). Theduration of hospitalization was shorter during the pandemic period than during the pre-pandemic period (pre-pandemic period 6.4 ± 5.5 days vs.pandemic period 5.7 ± 4.9, p = 0.028). Patients were mostly hospitalized from the emergency department in both periods (pre-pandemic period74.6% vs pandemic period 78% p = 0.210). Considering the diagnosis distribution, patients were hospitalized for 31 diagnoses in the pre-pandemic and 30 in the pandemic period. In both periods, patients were hospitalized most frequently with upper gastrointestinal bleeding. In addition, 134(20.3%) and 129 (18.8%) patients in the pre-pandemic and pandemic period were hospitalized due to upper gastrointestinal bleeding, respectively.No significant difference was found between the two periods in terms of this diagnosis (p = 0.488). Conclusions: The COVID-19 pandemic didnot affect the hospitalizations in the tertiary gastroenterology unit numerically, in terms of the unit they were admitted to and the distribution ofdiagnosis. It shortened the duration of hospitalization.
