The Impact of the Covid-19 Outbreak on Emergency Room Attendances of Surgical Patients

NCT04338672 | Unknown

• 1 other identifier: SMC-20-7078-YZ-CTIL
• Study Type: observational
• Target: 10,000
• Locations: 1 country
• Sites: 1

Brief Summary

Since December 2019, when the novel coronavirus disease (Covid-19) spread throughout the world, data have been needed on the effects of the pandemic on various aspects of healthcare systems. Recommendations for social distancing and quarantine decrees made by local governments, alongside the general public fear from the spread of the virus, are presumed to have markedly affected the trends in hospitals visits. Understanding the exact nature of the effect is critical for better anticipating and preparing health systems in the event of future outbreaks and in the post outbreak period. Therefore we intend to To identify retrospectively all patients who presented to the emergency department at our medical institute between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020. We will examine the impact of COVID-19 on the rates of surgical emergency visits, ratio of surgical visits to non-surgical visits, the ratio of severe presentations to non-severe presentations, and the impact of age on ED attendance.

Conditions

Emergency Service, Hospital; General Surgery

Keywords

Emergency; Surgery; Covid-19

Outcome Measures

Primary Outcomes (2)

• Rates of emergency visits needing surgical consult

  January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

• The ratio of severe presentations to non-severe presentations

  January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

Secondary Outcomes (2)

• The impact of age on ED attendance rates

  January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

• Differences in ED surgical visits (in terms of capacity and severity) of surgical patients depending on the presentation and the co morbidity

  January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

Study Arms (2)

Pandemic Period

Patients who presented to the emergency department at our medical institute Sheba Medical Center between January 1 - March 31 in 2020.

Other: COVID-19 Pandemic

Pre Pandemic Period

Patients who presented to the emergency department at our medical institute Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019,

Interventions

COVID-19 Pandemic OTHER

Exposure: the novel coronavirus disease (Covid-19) outbreak

Pandemic Period

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

All patients aged \>18 years old who attended the emergency department of Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

You may qualify if:

• All patients visiting the ER of Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

You may not qualify if:

• Patients less than 18 years of age

Sponsors & Collaborators

• Sheba Medical Center: lead

Study Sites (1)

Sheba Medical Center

Ramat Gan, Israel

RECRUITING

Related Publications (3)

• Heiber M, Lou WY. Effect of the SARS outbreak on visits to a community hospital emergency department. CJEM. 2006 Sep;8(5):323-8. doi: 10.1017/s148180350001397x.

  PMID: 17338843 BACKGROUND

• Chen WK, Cheng YC, Chung YT, Lin CC. The impact of the SARS outbreak on an urban emergency department in Taiwan. Med Care. 2005 Feb;43(2):168-72. doi: 10.1097/00005650-200502000-00010.

  PMID: 15655430 BACKGROUND

• Anteby R, Zager Y, Barash Y, Nadler R, Cordoba M, Klang E, Klein Y, Ram E, Gutman M, Horesh N. The Impact of the Coronavirus Disease 2019 Outbreak on the Attendance of Patients with Surgical Complaints at a Tertiary Hospital Emergency Department. J Laparoendosc Adv Surg Tech A. 2020 Sep;30(9):1001-1007. doi: 10.1089/lap.2020.0465. Epub 2020 Jun 23.

  PMID: 32589496 DERIVED

MeSH Terms

Conditions

Emergencies; COVID-19

Interventions

Pandemic Preparedness

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Disaster Planning; Disasters; Environment; Environment and Public Health; Communicable Disease Control; Public Health Practice; Public Health

Central Study Contacts

Roi Anteby, MD

CONTACT

19293011120; roi.anteby@sheba.health.gov.il

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 4, 2020
• First Posted: April 8, 2020
• Study Start: April 5, 2020
• Primary Completion: April 1, 2021
• Study Completion: April 1, 2022
• Last Updated: April 21, 2020

Record last verified: 2020-04

Data Sharing

• IPD Sharing: Will not share

Locations

IL (1)