Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Global Burden of the Covid-19 Associated Patient-Related Delay in Emergency Healthcare: A Panel of Systematic Review and Meta-Analyses Publisher Pubmed



Mogharab V1 ; Ostovar M2 ; Ruszkowski J3, 4 ; Hussain SZM5 ; Shrestha R6 ; Yaqoob U7 ; Aryanpoor P2 ; Nikkhoo AM2 ; Heidari P2 ; Jahromi AR2 ; Rayatdoost E2 ; Ali A8, 9 ; Javdani F2 ; Farzaneh R10 Show All Authors
Authors
  1. Mogharab V1
  2. Ostovar M2
  3. Ruszkowski J3, 4
  4. Hussain SZM5
  5. Shrestha R6
  6. Yaqoob U7
  7. Aryanpoor P2
  8. Nikkhoo AM2
  9. Heidari P2
  10. Jahromi AR2
  11. Rayatdoost E2
  12. Ali A8, 9
  13. Javdani F2
  14. Farzaneh R10
  15. Ghanaatpisheh A2
  16. Habibzadeh SR10
  17. Foroughian M10
  18. Ahmadi SR10
  19. Akhavan R10
  20. Abbasi B11
  21. Shahi B12
  22. Hakemi A10
  23. Bolvardi E10
  24. Bagherian F13
  25. Motamed M14
  26. Boroujeni ST14
  27. Jamalnia S15
  28. Mangouri A16
  29. Paydar M2
  30. Mehrasa N17
  31. Shirali D17
  32. Sanmarchi F18
  33. Saeed A19
  34. Jafari NA20
  35. Babou A21
  36. Kalani N2
  37. Hatami N2
Show Affiliations
Authors Affiliations
  1. 1. Department of Pediatrics, Jahrom University of Medical Sciences, Jahrom, Iran
  2. 2. Research Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran
  3. 3. Department of Nephrology, Transplantology and Internal Medicine, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland
  4. 4. Department of Pathophysiology, Faculty of Medicine, Medical University of Gdansk, Gdansk, Poland
  5. 5. ST1/Clinical Teaching Fellow, Norfolk and Norwich University Hospital, Norwich, United Kingdom
  6. 6. Palliative Care and Chronic Disease Unit, Green Pasteur Hospital, Pokhara, Nepal
  7. 7. Postgraduate trainee, Surgical Department, Hamdard University Hospital Karachi, Karachi, Pakistan
  8. 8. Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
  9. 9. Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, China
  10. 10. Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  11. 11. Department of Radiology, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran
  12. 12. Department of Emergency Medicine, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
  13. 13. Department of Emergency Medicine, Babol University of Medical Sciences, Babol, Iran
  14. 14. Department of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran
  15. 15. Medical Journalism Department, Shiraz University of Medical Sciences, Shiraz, Iran
  16. 16. Fellowship of Vascular Surgery and Endovascular Therapy, Division of Vascular Surgery and Endovascular Therapy, Department of General Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  17. 17. Shiraz Azad University, Dental Branch, Shiraz, Iran
  18. 18. Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy
  19. 19. Department of Biochemistry, Government College University, Faisalabad, Pakistan
  20. 20. Neuroscience Research Department Center, Kashan University of Medical Science, Kashan, Iran
  21. 21. Pharmaceutical Sciences Department, College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates

Source: Globalization and Health Published:2022


Abstract

Background: Apart from infecting a large number of people around the world and causing the death of many people, the COVID-19 pandemic seems to have changed the healthcare processes of other diseases by changing the allocation of health resources and changing people’s access or intention to healthcare systems. Objective: To compare the incidence of endpoints marking delayed healthcare seeking in medical emergencies, before and during the pandemic. Methods: Based on a PICO model, medical emergency conditions that need timely intervention was selected to be evaluated as separate panels. In a systematic literature review, PubMed was quarried for each panel for studies comparing the incidence of various medical emergencies before and during the COVID-19 pandemic. Markers of failure/disruption of treatment due to delayed referral were included in the meta-analysis for each panel. Result: There was a statistically significant increased pooled median time of symptom onset to admission of the acute coronary syndrome (ACS) patients; an increased rate of vasospasm of aneurismal subarachnoid hemorrhage; and perforation rate in acute appendicitis; diabetic ketoacidosis presentation rate among Type 1 Diabetes Mellitus patients; and rate of orchiectomy among testicular torsion patients in comparison of pre-COVID-19 with COVID-19 cohorts; while there were no significant changes in the event rate of ruptured ectopic pregnancy and median time of symptom onset to admission in the cerebrovascular accident (CVA) patients. Conclusions: COVID-19 has largely disrupted the referral of patients for emergency medical care and patient-related delayed care should be addressed as a major health threat. © 2022, The Author(s).