European Journal of Public Health,
Год журнала:
2024,
Номер
34(4), С. 652 - 659
Опубликована: Июнь 27, 2024
Abstract
Inconsistent
results
are
found
regarding
social
inequalities
related
to
healthcare
appointment
cancellations
during
the
COVID-19
crisis.
Whether
rescheduling
was
associated
with
status
is
unknown.
By
studying
both
and
rescheduling,
we
comprehensively
describe
which
groups
were
affected
by
care
disruption.
First
follow-up
of
a
random
population-based
cohort
used,
including
95
118
people
aged
18
or
older
at
baseline
who
live
in
France.
Poisson
multinomial
regressions
used
study
factors
experiencing
medical
cancellation
health
professionals
first
lockdown,
within
six
months.
Among
all
individuals
(including
those
without
scheduled
appointment),
21.1%
reported
initiated
professionals.
Women,
richest,
chronic
disease
most
these
cancellations.
Although
78.1%
had
their
cancelled
obtained
new
months,
6.6%
failed
reschedule
15.2%
did
not
want
reschedule.
While
oldest
more
likely
reschedule,
regardless
status,
poorest
multiple
diseases
less
do
so.
Difficulties
revealed
certain
ultimately
penalized
restriction
access
wave
pandemic.
Given
that
people,
group
poorer
condition
compared
other
groups,
affected,
our
raise
questions
about
ability
system
reduce
major
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.
Public Health Reports,
Год журнала:
2023,
Номер
138(3), С. 493 - 499
Опубликована: Фев. 3, 2023
Limited
data
are
available
on
how
the
closure
of
pediatric
dental
clinics
because
COVID-19
pandemic
affected
hospital
emergency
department
(ED)
visits
in
United
States.
We
evaluated
changes
dental-related
at
a
ED
and
associated
urgent
care
centers
(UCCs)
after
shutdown
large
clinic
pandemic.We
conducted
single-center
retrospective
medical
record
review
811
patients
aged
0
to
17
years
who
presented
or
UCC
Rady
Children's
Hospital-San
Diego
for
concerns
from
March
19,
2019,
through
January
17,
2021.
Patients
were
classified
into
3
periods:
before
shutdown,
during
shutdown.
collected
demographic
characteristics;
International
Classification
Diseases,
Tenth
Revision
codes;
diagnosis;
treatment;
test
results.
compared
frequency
proportion
seen
concerns,
diagnosis,
treatment
periods.The
doubled
(0.7%)
was
1.5
times
higher
(0.6%)
with
(0.4%;
P
<
.001).
Significantly
more
EDs
than
UCCs
(P
=
.005).
During
admission
antibiotic
increased
significantly
6.5%
7.9%,
respectively,
(2.8%;
.022),
nonaerosolized
procedures
ED/UCC
discharge
13.4%
9.3%,
(6.2%;
.015).Mitigating
future
closures
offices
is
important
given
shifted
burden
ED.
International Journal of Environmental Research and Public Health,
Год журнала:
2022,
Номер
19(23), С. 16216 - 16216
Опубликована: Дек. 4, 2022
The
worldwide
pandemic
has
exposed
healthcare
professionals
to
a
high
risk
of
infection,
exacerbating
the
situation
uncertainty
caused
by
COVID-19.
objective
this
review
was
evaluate
psychological
impact
COVID-19
on
dental
and
their
patients.
A
literature
conducted
using
Medline-Pubmed,
Web
Science,
Scopus
databases,
excluding
systematic
reviews,
narratives,
meta-analyses,
case
reports,
book
chapters,
short
communications,
congress
papers.
modified
version
Newcastle-Ottawa
Scale
(NOS)
used
quality
selected
studies.
search
retrieved
3879
articles,
123
these
were
for
(7
longitudinal
116
cross-sectional
studies).
Elevated
anxiety
levels
observed
in
professionals,
especially
younger
female
professionals.
Except
orthodontic
treatments,
patients
reported
level
fear
that
reduced
demand
dentist
treatment
emergency
cases
alone.
results
suggest
had
emotional
consequences
Further
research
is
necessary
persistence
problem
over
time.
Cancers,
Год журнала:
2024,
Номер
16(8), С. 1469 - 1469
Опубликована: Апрель 11, 2024
The
delayed
diagnosis
of
skin
tumors
is
associated
with
a
worsened
prognosis.
impact
the
interruption
clinical
and
surgical
health
services
during
COVID-19
pandemic
lockdowns
has
been
documented
among
many
pathologies.
diagnoses
on
patients
cutaneous
squamous
cell
carcinomas
(cSCCs)
poorly
defined.
To
compare
patient
lesion
characteristics
management
excised
cSCCs
prior
to
shutdown
(2018-2019)
phase
following
pandemic's
second
wave
(2021-2022).
An
observational,
single-center,
cross-sectional
study
416
surgically
over
course
two
years
was
performed.
Only
histologically
confirmed
cSCC
were
enrolled.
Data
collection
included
demographics
characteristics,
time
surgery,
approach,
histological
data.
More
lesions
(n
=
312
vs.
n
186).
Lesions
significantly
larger
(1.7
±
1.2
2.1
1.5
cm;
p
0.006)
more
invasive
(52%
89%;
<
0.001),
in
period
2021-2022.
Surgical
reconstructive
techniques
different
(p
0.001).
Metastatic
involvement
three
subjects
(one
2018-2019
2021-2022).
There
no
significant
differences
surgery
or
characteristics.
Multivariable
regression
analysis
identified
4.7-times
higher
risk
tumor
invasion
(OR
4.69,
95%CI
2.55-8.16,
two-times
chance
dermo-epidermal
grafts
2.06,
1.09-3.88,
0.025),
3.2-times
positive
margins
3.21,
1.44-7.17,
0.004).
Diagnostic
delays
SCCs
reduced
access
diagnostic
are
increased
severe
invasion,
three-times
margins,
management,
compared
pre-pandemic
period.
Comparable
cohort
remained
unchanged.
European Journal of Public Health,
Год журнала:
2024,
Номер
34(4), С. 652 - 659
Опубликована: Июнь 27, 2024
Abstract
Inconsistent
results
are
found
regarding
social
inequalities
related
to
healthcare
appointment
cancellations
during
the
COVID-19
crisis.
Whether
rescheduling
was
associated
with
status
is
unknown.
By
studying
both
and
rescheduling,
we
comprehensively
describe
which
groups
were
affected
by
care
disruption.
First
follow-up
of
a
random
population-based
cohort
used,
including
95
118
people
aged
18
or
older
at
baseline
who
live
in
France.
Poisson
multinomial
regressions
used
study
factors
experiencing
medical
cancellation
health
professionals
first
lockdown,
within
six
months.
Among
all
individuals
(including
those
without
scheduled
appointment),
21.1%
reported
initiated
professionals.
Women,
richest,
chronic
disease
most
these
cancellations.
Although
78.1%
had
their
cancelled
obtained
new
months,
6.6%
failed
reschedule
15.2%
did
not
want
reschedule.
While
oldest
more
likely
reschedule,
regardless
status,
poorest
multiple
diseases
less
do
so.
Difficulties
revealed
certain
ultimately
penalized
restriction
access
wave
pandemic.
Given
that
people,
group
poorer
condition
compared
other
groups,
affected,
our
raise
questions
about
ability
system
reduce
major
