Emergency Department Visits And Hospital Capacity In The US: Trends In The Medicare Population During The COVID-19 Pandemic DOI
Peter B. Smulowitz, A. James O’Malley, J. Michael McWilliams

и другие.

Health Affairs, Год журнала: 2024, Номер 43(7), С. 970 - 978

Опубликована: Июль 1, 2024

Although emergency department (ED) and hospital overcrowding were reported during the later parts of COVID-19 pandemic, true extent potential causes this remain unclear. Using data on traditional fee-for-service Medicare population, we examined patterns in ED use period 2019-22. We evaluated trends visits, rates admission from ED, thirty-day mortality, as well measures suggestive capacity, including census, length-of-stay, discharge destination. found that visits remained below baseline throughout study period, with standardized number at end being approximately 25 percent lower than baseline. Longer length-of-stay persisted through 2022, whereas census was considerably above until stabilizing just 2022. Rates to postacute facilities initially declined then leveled off 2 These results suggest widespread reports not driven by a resurgence visits. Nonetheless, remains higher, presumably related increased acuity reduced available bed capacity care system.

Язык: Английский

Multilevel determinants of COVID-19 vaccination hesitancy in the United States: A rapid systematic review DOI Creative Commons
Ying Wang, Yu Liu

Preventive Medicine Reports, Год журнала: 2021, Номер 25, С. 101673 - 101673

Опубликована: Дек. 16, 2021

Vaccine hesitancy is a challenge for the success and optimal implementation of COVID-19 immunization programs in US. The objective this study was to summarize multilevel determinants vaccination intention US inform future intervention opportunities. To end, we conducted rapid systematic review by searching published articles via PubMed October 5, 2021, following PRISMA guidelines. One hundred six were included. According nationally representative studies, overall acceptance rate ranges from 53.6% 84.4%. Individual (demographics, health history, behaviors beliefs), interpersonal (having close friend/family member impacted COVID-19), healthcare societal level factors (healthcare provider recommendations, source/credential related information, conspiracy theories) all contributed vaccine This demonstrates that vaccines influenced various factors, particularly role providers enhancing public intent vaccination. Potential interventions mitigate people's concerns over address vaccine-related conspiracy/misinformation social media are also critical encourage uptake

Язык: Английский

Процитировано

116
Impact of COVID 19 on erectile function DOI Creative Commons

Damilare Hakeem Adeyemi,

Adeyemi Fatai Odetayo, Moses Agbomhere Hamed

и другие.

The Aging Male, Год журнала: 2022, Номер 25(1), С. 202 - 216

Опубликована: Авг. 4, 2022

Purpose: COVID-19, a novel infection, presented with several complications, including socioeconomical and reproductive health challenges such as erectile dysfunction (ED). The present review summarizes the available shreds of evidence on impact COVID-19 ED.Materials methods: All published peer-reviewed articles from onset outbreak to date, relating ED, were reviewed. Results: Available pieces that ED is consequence are convincing. share common risk factors disruption vascular integrity, cardiovascular disease (CVD), cytokine storm, diabetes, obesity, chronic kidney (CKD). also induces impaired pulmonary haemodynamics, increased ang II, testicular damage low serum testosterone, reduced arginine-dependent NO bioavailability promotes reactive oxygen species (ROS) generation endothelial dysfunction, resulting in ED. In addition, triggers psychological/mental stress suppresses testosterone-dependent dopamine concentration, which contributes incident ED.Conclusions: conclusion, exerts detrimental effect male function, function. This involves cascade events multiple pathways. As pandemic dwindles, identifying long-term effects COVID-19-induced proffering adequate effective measures militating against remains pertinent.

Язык: Английский

Процитировано

36
Impact of COVID-19 Pandemic on Healthcare Utilization among Patients with Type 2 Diabetes Mellitus: A Systematic Review DOI Open Access
Norizzati Amsah, Zaleha Md Isa, Norfazilah Ahmad

и другие.

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(5), С. 4577 - 4577

Опубликована: Март 4, 2023

As the COVID-19 pandemic continues, healthcare services have been grossly overwhelmed by pandemic. Due to this circumstance, routine care for individuals with type 2 diabetes mellitus (T2DM) has temporarily disrupted. The purpose of systematic review was summarize evidence regarding impact on utilization among patients T2DM. A search conducted in Web Science, Scopus, and PubMed databases. process identifying final articles followed PRISMA guidelines. inclusion criteria were published between 2020 2022, written English, studies focusing research question. Any proceedings books excluded. total fourteen relevant question extracted. Following that, included critically appraised using Mixed Method Appraisal Tool (MMAT) Joanna Briggs Institute Critical assess quality studies. findings further classified into three themes: reduced T2DM services, a surge telemedicine usage, delay delivery services. key messages include demands monitoring long-term effects missed that better preparedness is crucial any future. tight diagnostic workup at community level regular follow-ups are managing patients. Telemedicine should be agenda health system maintain complement Future warranted determine effective strategies deal clear policy essential established.

Язык: Английский

Процитировано

18
The Epidemic of COVID-19-Related Erectile Dysfunction: A Scoping Review and Health Care Perspective DOI Creative Commons
Tung‐Chin Hsieh, Natalie C. Edwards, Samir Bhattacharyya

и другие.

Sexual Medicine Reviews, Год журнала: 2021, Номер 10(2), С. 286 - 310

Опубликована: Сен. 20, 2021

COVID-19 infection is expected to be associated with an increased likelihood of erectile dysfunction (ED). Considering the high transmissibility COVID-19, ED may a concerning consequence for large segment population. To (1) summarize existing published evidence impact on prevalence, severity, treatment, and management ED; (2) identify health-related trends in emerging literature gaps research make recommendations future needs area. A scoping search was conducted April 27, 2021. The Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Scoping (Preferred Meta-Analyses-ScR) checklist followed. performed PubMed using terms: erectile, sexual, dysfunction. total 693 publications were screened relevance. Studies appraised their level based study design rigor methodology. that causes or impacts compelling. Four topics emerged regarding nature association between ED: biological mental health (3) access treatment; (4) disparities ED. Long-term well-designed studies are needed clarify extent pandemic exposed several vulnerabilities within worldwide healthcare social systems. has uniquely harmful men's function through biological, health, mechanisms. As wanes, strategies long-term effects additional care support adequately mitigate health. Hsieh T-C, Edwards NC, Bhattacharyya SK, et al.The Epidemic COVID-19-Related Erectile Dysfunction: Review Health Care Perspective. Sex Med Rev 2022;10:286–310.

Язык: Английский

Процитировано

37
Trends in Self-reported Forgone Medical Care Among Medicare Beneficiaries During the COVID-19 Pandemic DOI Creative Commons
Sungchul Park, Jim P. Stimpson

JAMA Health Forum, Год журнала: 2021, Номер 2(12), С. e214299 - e214299

Опубликована: Дек. 30, 2021

Evidence suggests that the COVID-19 pandemic has had a negative association with medical care access. As prior studies mainly focused on initial stage of pandemic, less is known about how trends in forgone changed over time.To examine and reasons for among Medicare beneficiaries during pandemic.This cross-sectional study analyzed using data from 3 waves survey Current Beneficiary Survey Supplement (Summer 2020, Fall Winter 2021). Data analyses were conducted between July August 2021.Date interview.Self-reported because COVID-19.A total 23 058 included (13 005 women [56.4%]; 10 445 [45.3%] 75 years old older). The response rates each wave 72.6%, 78.95, 79.6%, respectively. reported decreased week June 7, to April 4 25, 2021, but largest difference was found 7 12, 2020 (22.4% 15.9%). Physician-driven factors accounted 70% care. proportion those who forgoing physician-driven tended decrease 66.2% 44.7% weeks 2021. likelihood percentage points (95% CI, 0.03-0.05) higher feeling more stressed or anxious than did not, 0.01-0.04) lonely sad socially connected not.The results this suggest may exacerbate existing barriers lead delay needed Policy makers must continue identify effective means meeting backlog maintaining continuity care, especially mental health problems.

Язык: Английский

Процитировано

37
Trends in Hospitalizations for Ambulatory Care–Sensitive Conditions During the COVID-19 Pandemic DOI Creative Commons
Nora V. Becker,

Monita Karmakar,

Renuka Tipirneni

и другие.

JAMA Network Open, Год журнала: 2022, Номер 5(3), С. e222933 - e222933

Опубликована: Март 17, 2022

Importance

The association of the COVID-19 pandemic with quality ambulatory care is unknown. Hospitalizations for care–sensitive conditions (ACSCs) are a well-studied measure care; however, they may also be associated other patient-level and system-level factors.

Objective

To describe trends in hospital admissions ACSCs prepandemic period (March 2019 to February 2020) compared 2020 2021).

Design, Setting, Participants

This cross-sectional study adults enrolled commercial health maintenance organization Michigan included 1 240 409 unique (13 011 176 person-months) 206 361 (12 759 675 period.

Exposure

Main Outcomes Measures

Adjusted relative risk (aRR) ACSC hospitalizations intensive unit stays adjusted incidence rate ratio length stay vs 2021) periods, patient age, sex, calendar month admission, county residence.

Results

population period, which 51.3% person-months (n = 6 547 231) were female patients, relatively even age distribution between ages 24 64 years. having any hospitalization was 0.72 (95% CI, 0.69-0.76;P < .001). decrease slightly larger magnitude than overall reduction non-ACSC, non–COVID-19 rates (aRR, 0.82; 95% 0.81-0.83;P Large reductions found respiratory-related 0.54; 0.50-0.58;P .001), non–statistically significant diabetes-related 0.91; 0.83-1.00;P .05) statistically all 0.79; 0.74-0.85;P Among hospitalizations, no change percentage that an 0.99; 0.94-1.04;P .64), (adjusted ratio, 1.02; 0.98-1.06;P .33).

Conclusions Relevance

In this large plan, both non-ACSC particularly seen ACSCs. These likely due many system–level factors rates. Further research into causes long-term outcomes these needed understand how has affected delivery US.

Язык: Английский

Процитировано

24
Provider and Patient Experiences of Delays in Primary Care During the Early COVID-19 Pandemic DOI
Kimberly Muellers, Katerina Andreadis, Jessica S. Ancker

и другие.

Journal for Healthcare Quality, Год журнала: 2023, Номер 45(3), С. 169 - 176

Опубликована: Март 13, 2023

The necessary suspension of nonacute services by healthcare systems early in the COVID-19 pandemic was predicted to cause delays routine care United States, with potentially serious consequences for chronic disease management. However, limited work has examined provider or patient perspectives about and their implications quality future emergencies.This study explores primary (PCP) experiences during pandemic.PCPs patients were recruited from four large three states. Participants underwent semistructured interviews asking telemedicine. Data analyzed using interpretive description.Twenty-one PCPs 65 participated interviews. Four main topics identified: (1) types delayed, (2) causes delays, (3) miscommunication contributing (4) solutions unmet needs.Both providers reported preventive pandemic, driven system changes concerns infection risk. Primary practices should develop plans continuity consider new strategies assessing effective management disruptions.

Язык: Английский

Процитировано

15
Disruption in Blood Pressure Control With the COVID-19 Pandemic: The PCORnet Blood Pressure Control Laboratory DOI Creative Commons
Alanna M. Chamberlain, Rhonda M. Cooper‐DeHoff, Valy Fontil

и другие.

Mayo Clinic Proceedings, Год журнала: 2023, Номер 98(5), С. 662 - 675

Опубликована: Янв. 25, 2023

Язык: Английский

Процитировано

14
National trends of allergic diseases and pandemic–related factors among individuals with obesity in South Korea: A nationwide representative serial study, 2005–2021 DOI Creative Commons

Yejun Son,

Jaeyu Park, Yujin Choi

и другие.

Heliyon, Год журнала: 2024, Номер 10(9), С. e29921 - e29921

Опубликована: Апрель 22, 2024

Although obesity is known to be related allergic diseases, few studies have investigated the prevalence of diseases in individuals with obesity, especially during COVID-19 pandemic. Thus, this study aimed analyze national trends among and sociodemographic factors.

Язык: Английский

Процитировано

6
The Factors Associated With Telehealth Use and Avoidance During the COVID-19 Pandemic: Longitudinal Survey DOI Creative Commons
Louise M. Farrer, Philip J. Batterham, Amelia Gulliver

и другие.

Journal of Medical Internet Research, Год журнала: 2023, Номер 25, С. e43798 - e43798

Опубликована: Янв. 17, 2023

Social distancing requirements due to the COVID-19 pandemic saw a rapid increase in delivery of telehealth consultations as an alternative face-to-face health care services.The aims this study were assess use and acceptability during early stages identify factors associated with avoidance period.Data obtained from waves 4 7 longitudinal survey designed impact on behavior representative sample Australian adults. Participants reported their or assessment period, well mode used acceptability.Approximately 30% participants using periods, most common modality being telephone. Acceptance was generally high higher among those who compared did not. Approximately 18% avoiding telehealth. Across waves, younger age, speaking language other than addition English, having current medical diagnosis, lower levels acceptability.While accepting services, there remain barriers use, especially particular sociodemographic groups. At population level, services nearly one five adults may have considerable long-term impacts morbidity potentially mortality. Targeted efforts promote engagement are critical if these adverse outcomes be avoided, particularly periods when access limited.

Язык: Английский

Процитировано

10