Census-Dependent Mortality of Ventilated Patients With COVID-19 in Israel: Noninterventional Observational Cohort Study

Interactive Journal of Medical Research, Journal Year: 2024, Volume and Issue: 13, P. e41749 - e41749

Published: July 9, 2024

Background The COVID-19 pandemic led to several surges in the mass hospitalization rate. Extreme increases hospital admissions without adequate medical resources may increase mortality. No study has addressed impact of daily census ventilated patients on mortality context a nationwide setting. Objective This aimed determine whether affected rates Israel. Methods We conducted cohort using nationwide, public-domain, population-based data hospitalized from an Israeli database March 11, 2020, until February 2021. included all admissions, classified as mild severe per Centers for Diseases Control and Prevention classification irrespective they were mechanically ventilated. Outcome measures death expressed percentage patients. Results During period (338 days 2021), 715,743 contracted clinically confirmed having COVID-19. Among them, 5577 (0.78%) died. In total, 3398 because Daily correlated with (R2=0.828, P<.001). percent also (R2=0.365, P<.001)—backward multiple regression analysis demonstrated that this positive correlation was still highly significant even when correcting average age or gender (R2=0.4328, P<.001) surge their number. Overall, 40% variation explained by variations ANOVA revealed at less than 50 day, slightly above 5%, it nearly doubled (10%) 50-149 patients; moreover, categories ≥200 more tripled ≥15% (P<.001). Conclusions patient increased number patients, suggesting saturation resources. Policy makers should be aware expanding services Governments perform similar analyses provide indicators system saturation, although further validation these results might needed use indicator drive public policy.

Language: Английский

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Quality and quantity of serious violent suicide attempts during the COVID-19 pandemic

Frontiers in Psychiatry, Journal Year: 2022, Volume and Issue: 13

Published: July 19, 2022

While repeated shutdown and lockdown measures helped contain the spread of SARS-CoV-2 during COVID-19 pandemic, social distancing self-isolation negatively impacted global mental health in 2020 2021. Although suicide rates did reportedly not increase first months long-term data, data on quality serious violent attempts (SVSAs) are available to date.Orthopaedic trauma patient visits emergency department (ED), ED team activations, SVSAs were retrospectively evaluated from January 2019 until May 2021 four Level-I Trauma Centers Berlin, Germany. assessed for method, injury pattern severity, type treatment, length hospital stay.Significantly fewer orthopaedic patients presented EDs pandemic (n = 70,271) compared control 84,864) period (p 0.0017). activation numbers remained unchanged. (corrected seasonality) also unchanged 138) 129) periods, no differences observed methods, patterns, or stay.Our emphasize that a previously reported rise psychological stress does coincide with increased SVSA changes SVSAs.

Language: Английский

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Changes in ambulance departures for assault calls during COVID‐19 pandemic restrictions

Aggressive Behavior, Journal Year: 2022, Volume and Issue: 49(1), P. 76 - 84

Published: Oct. 28, 2022

Abstract Restrictions related to COVID‐19 changed the daily behavior of people, including expression violence. Although an increased incidence violent behavior, especially domestic violence, was expected during pandemic, retrospective analyses have yielded mixed results. Records ambulance departures address injuries caused by assaults in Pilsen region, Czech Republic, restrictive measures national state emergency were compared data from 3 previous years using general linear models. The number and severity analyzed for whole sample separately patients either sex, residential or nonresidential locations, Controlling seasonal effects, decreased 39% pandemic restrictions years. No difference found between effects on resulting injury a male female patient. decrease specifically pronounced while no effect observed locations assaults. Pandemic associated with that required services. those assaulted outside their homes, we support increase violence against women. may served as protective rather than risk factor severe enough warrant call

Language: Английский

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Violent behavior and the COVID-19 lockdowns: a nationwide register-based study

CNS Spectrums, Journal Year: 2022, Volume and Issue: 28(4), P. 450 - 456

Published: Aug. 4, 2022

The primary aim was to test the hypothesis that physical interpersonal violence is decreased during lockdown period in comparison with comparable control periods. secondary aims were explore effects of gender and alcohol consumption on lockdown. Nationwide records hospitalizations an assault analyzed using quasipoisson regression. Assault rates two periods, defined as a national emergency state, compared baseline data between 2017 2020, controlling for seasonal fluctuations pandemic-related other than To validate findings independent data, differences Police violent criminality 2021 examined one-way ANOVA. substantially lockdowns (IRR = .43; P < .001) duration did not affect (P .07). decrease more pronounced males females .77; .05) weakened patients history abuse 1.83; .001). Violent crime rate by 19% prepandemic We found COVID-19 reduction significantly greater males. Emerging evidence suggests increased risk use intoxication lockdowns.

Language: Английский

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Suicide attempts as a cause of pelvic injuries during the COVID-19 pandemic

Bratislavské lekárske listy/Bratislava medical journal, Journal Year: 2022, Volume and Issue: 123(04), P. 231 - 235

Published: Jan. 1, 2022

We decided to compare the incidence and spectrum of pelvic fractures in 2020 affected by anti-pandemic measures due COVID-19 with previous years 2018 2019.This retrospective study included 391 patients treated at author's clinic for fractures. From medical records we recorded gender, age, mechanism injury, trauma energy, fracture type based on AO classification severity injury.As expected, observed no difference number caused simple falls. However, failed prove a reduction high-energy injuries. In contrary, an increase injuries period between lockdowns (p=0.0375). A surprising result was dramatic suicide attempts as cause fractures, 6 (2.2 %) 2019 compared 13 (10 alone (p=0.0017).We increased suicidal only limited specific fractures; therefore, cannot formulate any general conclusions regarding during pandemic. Nevertheless, consider this be warning signal highlighting worsened population mental health pandemic (Tab. 2, Fig. 1, Ref. 34).

Language: Английский

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