| Abstract | Cilj: Cilj ovog rada je usporediti učestalost intervencija (pregleda) pacijenata koji su pod određenom prijemnom dijagnozom liječeni u Zavodu za hitnu medicinu Splitsko-dalmatinske županije (ZHM SDŽ) u godini prije (2019./2020.) i u godini za vrijeme (2020./2021.) pandemije COVID-19.
Materijali i metode: U ovo retrospektivno istraživanje uključeni su svi pacijenti liječeni u Zavodu za hitnu medicinu Splitsko-dalmatinske županije (ZHM SDŽ) od veljače 2019. do veljače 2021. godine. Podaci o dobi, spolu te prijemnoj dijagnozi pacijenata po MKB-10 klasifikaciji prikupljeni su iz informacijskog sustava e-Hitna.
Rezultati: Značajna razlika u učestalosti prijemnih dijagnoza u pre-COVID razdoblju u odnosu na COVID razdoblje na ukupnom uzorku od 214 862 ispitanika utvrđena je u razredima R00-R99 (Simptomi, znakovi i abnormalni klinički i laboratorijski nalazi, neklasificirani drugdje), S00-T98 (Ozljede, trovanja i određene druge posljedice s vanjskim uzrokom) te J00-J99 (Bolesti dišnog sustava) na razini značajnosti p<0,001. Nadalje značajna razlika utvrđena je u razredu I00-I99 (Bolesti cirkulacijskog sustava) na razini p=0,001 dok je razred H60-H95 (Bolesti uha i mastoidnih procesa) pokazao značajnost p=0,002. U pre-COVID razdoblju utvrđena je značajna razlika prema spolu, gdje su žene imale veći broj prijemnih dijagnoza u odnosu na muškarce, u razredima N00-N99 (Bolesti genitalno-urinarnog sustava) (p=0,001) te u razredu R00-R99 (p<0,001). U istom razdoblju muškarci su se značajno razlikovali od žena u razredu S00-T98 na razini p<0,001. U COVID razdoblju utvrđena je značajna razlika prema spolu, gdje su muškarci imali veći broj prijemnih dijagnoza u odnosu na žene, u razredu S00-T98 na razini p<0,001, dok su žene imale više prijemnih dijagnoza u razredima R00-R99 na razini p<0,001, I00-I99 na razini p=0,001 te N00-N99 (p=0,005).
Zaključci: Veći broj pacijenata zaprimljen je u ZHM SDŽ u godini koja je prethodila pandemiji nego u godini s pandemijom COVID-19. Iako je COVID-19 primarno bolest dišnog puta, više je pacijenata zaprimljeno pod tom prijemnom dijagnozom u godini prije pandemije COVID-19, što je vjerojatno razlog organizacije zdravstvenog sustava (direktan odlazak na COVID-19 prijeme) te sam učinak izolacije i samoizolacije (smanjen kontakt među ljudima). Pridržavanje načela zatvaranja također je vjerojatni čimbenik koji je doprinio značajnom smanjenju broja ozljeda i trovanja (prometne nesreće, traume, radne ozljede...). |
| Abstract (english) | Summary:
Objective: The aim of this paper is to compare the frequency of interventions (examination) of patients who were treated at a certain admission diagnosis at the Department of Emergency Medicine of Split-Dalmatia County (ZHM SDŽ) in the year before (2019/2020) and in the year during (2020/2021) COVID-19 pandemic.
Materials and methods: This retrospective study included all patients treated at the Department of Emergency Medicine from February 2019 to February 2021. Data on age, sex and diagnosis of patients by ICD-10 classification were collected from medical program e-Hitna.
Results: A significant difference in the frequency of admission diagnoses in the pre-COVID period compared to the COVID period on a total sample of 214 862 subjects were found in classes R00-R99 (Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified) , S00-T98 (Injuries, poisonings and certain other consequences with external cause) and J00-J99 (Respiratory diseases) at the level of significance p <0.001. Furthermore, a significant difference was found in class I00-I99 (Diseases of the circulatory system) at the level of p = 0.001 while class H60-H95 (Diseases of the ear and mastoid processes) showed a significance of p = 0.002. In the pre-COVID period, a significant gender difference was found, where women had a higher number of admission diagnoses than men in classes N00-N99 (Diseases of the genitourinary system) (p = 0.001) and in class R00-R99 (p <0.001). In the same period, men differed significantly from women in the S00-T98 class at the p <0.001 level. In the COVID period, a significant gender difference was found, where men had a higher number of admission diagnoses than women in class S00-T98 at the level of p <0.001, while women had more admission diagnoses in classes R00-R99 at the level of p <0.001, I00-I99 at p = 0.001 and N00-N99 (p = 0.005).
Conclusions: A larger number of patients were admitted to ZHM SDŽ in the year preceding the pandemic than in the year with the COVID-19 pandemic. Although COVID-19 is primarily a respiratory disease, more patients were admitted under this admission diagnosis in the year before the COVID-19 pandemic, which is probably due to organization of the health system (direct access to COVID-19 admissions) and the effect of isolation and self-isolation (less contact between people). Adherence to the principle of lockdown is also a likely factor that has contributed to a significant reduction in the number of injuries and poisonings (traffic accidents, trauma, work injuries...). |
