Assessing the Impact of the COVID-19 Pandemic on Emergency Department Use for Patients Undergoing Cancer-Directed Surgeries.
Emergency department (ED) use is a concern for surgery patients, physicians and health administrators particularly during a pandemic. The objective of this study was to assess the impact of the pandemic on ED use following cancer-directed surgeries. This is a retrospective cohort study of patients u...
| Publicado en: | Current Oncology Vol. 29; no. 3; pp. 1877 - 1890 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Mar2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156002889&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156002889 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11980052 5EKK jtl: Current Oncology issn: 11980052 maglogo: N pubinfo: dt: Mar2022 vid: 29 iid: 3 pid: 97109 pub: MDPI artinfo: ui: 156002889 156002889 156002889 10.3390/curroncol29030153 156002889 ppf: 1877 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Assessing the Impact of the COVID-19 Pandemic on Emergency Department Use for Patients Undergoing Cancer-Directed Surgeries. aug: au: Eskander, Antoine Li, Qing Yu, Jiayue Hallet, Julie Coburn, Natalie Dare, Anna Chan, Kelvin K. W. Singh, Simron Parmar, Ambica Earle, Craig C. Lapointe-Shaw, Lauren Krzyzanowska, Monika K. Hanna, Timothy P. Finelli, Antonio Louie, Alexander V. Look-Hong, Nicole Irish, Jonathan C. Witterick, Ian Mahar, Alyson Urbach, David R. affil: ICES, Toronto, ON M4N 3M5, Canada sug: subj: COVID-19 Pandemic Emergency Service Neoplasms Surgery Human Retrospective Design Prospective Studies Comparative Studies Logistic Regression Odds Ratio Scales Confidence Intervals Quality of Health Care Health Services Research ab: Emergency department (ED) use is a concern for surgery patients, physicians and health administrators particularly during a pandemic. The objective of this study was to assess the impact of the pandemic on ED use following cancer-directed surgeries. This is a retrospective cohort study of patients undergoing cancer-directed surgeries comparing ED use from 7 January 2018 to 14 March 2020 (pre-pandemic) and 15 March 2020 to 27 June 2020 (pandemic) in Ontario, Canada. Logistic regression models were used to (1) determine the association between pandemic vs. pre-pandemic periods and the odds of an ED visit within 30 days after discharge from hospital for surgery and (2) to assess the odds of an ED visit being of high acuity (level 1 and 2 as per the Canadian Triage and Acuity Scale). Of our cohort of 499,008 cancer-directed surgeries, 468,879 occurred during the pre-pandemic period and 30,129 occurred during the pandemic period. Even though there was a substantial decrease in the general population ED rates, after covariate adjustment, there was no significant decrease in ED use among surgical patients (OR 1.002, 95% CI 0.957–1.048). However, the adjusted odds of an ED visit being of high acuity was 23% higher among surgeries occurring during the pandemic (OR 1.23, 95% CI 1.14–1.33). Although ED visits in the general population decreased substantially during the pandemic, the rate of ED visits did not decrease among those receiving cancer-directed surgery. Moreover, those presenting in the ED post-operatively during the pandemic had significantly higher levels of acuity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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