Effects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan

The coronavirus disease 2019 (COVID-19) pandemic has impacted emergency department (ED) practice, including the treatment of traumatic brain injury (TBI), which is commonly encountered in the ED. Our study aimed to evaluate TBI treatment efficiency in the ED during the COVID-19 pandemic. A retrospec...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Carlos Lam, Ju-Chuan Yen, Chia-Chieh Wu, Heng-Yu Lin, Min-Huei Hsu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	COVID-19 pandemic treatment efficiency traumatic brain injury emergency department Medicine R
Acceso en línea:	https://doaj.org/article/63cc7b75ba044e62aa6839017b5928b0
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:63cc7b75ba044e62aa6839017b5928b0
record_format	dspace
spelling	oai:doaj.org-article:63cc7b75ba044e62aa6839017b5928b02021-11-25T18:01:37ZEffects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan10.3390/jcm102253142077-0383https://doaj.org/article/63cc7b75ba044e62aa6839017b5928b02021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5314https://doaj.org/toc/2077-0383The coronavirus disease 2019 (COVID-19) pandemic has impacted emergency department (ED) practice, including the treatment of traumatic brain injury (TBI), which is commonly encountered in the ED. Our study aimed to evaluate TBI treatment efficiency in the ED during the COVID-19 pandemic. A retrospective observational study was conducted using the electronic medical records from three hospitals in metropolitan Taipei, Taiwan. The time from ED arrival to brain computed tomography (CT) and the time from ED arrival to surgical management were used as measures of treatment efficiency. TBI treatment efficiencies in the ED coinciding with a small-scale local COVID-19 outbreak in 2020 (P1) and large-scale community spread in 2021 (P2) were compared against the pre-pandemic efficiency recorded in 2019. The interval between ED arrival and brain CT was significantly shortened during P1 and P2 compared with the pre-pandemic interval, and no significant delay between ED arrival and surgical management was found, indicating increased treatment efficiency for TBI in the ED during the COVID-19 pandemic. Minimizing viral spread in the community and the hospital is vital to maintaining ED treatment efficiency and capacity. The ED should retain sufficient capacity to treat older patients with serious TBI during the COVID-19 pandemic.Carlos LamJu-Chuan YenChia-Chieh WuHeng-Yu LinMin-Huei HsuMDPI AGarticleCOVID-19 pandemictreatment efficiencytraumatic brain injuryemergency departmentMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5314, p 5314 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID-19 pandemic treatment efficiency traumatic brain injury emergency department Medicine R
spellingShingle	COVID-19 pandemic treatment efficiency traumatic brain injury emergency department Medicine R Carlos Lam Ju-Chuan Yen Chia-Chieh Wu Heng-Yu Lin Min-Huei Hsu Effects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan
description	The coronavirus disease 2019 (COVID-19) pandemic has impacted emergency department (ED) practice, including the treatment of traumatic brain injury (TBI), which is commonly encountered in the ED. Our study aimed to evaluate TBI treatment efficiency in the ED during the COVID-19 pandemic. A retrospective observational study was conducted using the electronic medical records from three hospitals in metropolitan Taipei, Taiwan. The time from ED arrival to brain computed tomography (CT) and the time from ED arrival to surgical management were used as measures of treatment efficiency. TBI treatment efficiencies in the ED coinciding with a small-scale local COVID-19 outbreak in 2020 (P1) and large-scale community spread in 2021 (P2) were compared against the pre-pandemic efficiency recorded in 2019. The interval between ED arrival and brain CT was significantly shortened during P1 and P2 compared with the pre-pandemic interval, and no significant delay between ED arrival and surgical management was found, indicating increased treatment efficiency for TBI in the ED during the COVID-19 pandemic. Minimizing viral spread in the community and the hospital is vital to maintaining ED treatment efficiency and capacity. The ED should retain sufficient capacity to treat older patients with serious TBI during the COVID-19 pandemic.
format	article
author	Carlos Lam Ju-Chuan Yen Chia-Chieh Wu Heng-Yu Lin Min-Huei Hsu
author_facet	Carlos Lam Ju-Chuan Yen Chia-Chieh Wu Heng-Yu Lin Min-Huei Hsu
author_sort	Carlos Lam
title	Effects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan
title_short	Effects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan
title_full	Effects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan
title_fullStr	Effects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan
title_full_unstemmed	Effects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan
title_sort	effects of the covid-19 pandemic on treatment efficiency for traumatic brain injury in the emergency department: a multicenter study in taiwan
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/63cc7b75ba044e62aa6839017b5928b0
work_keys_str_mv	AT carloslam effectsofthecovid19pandemicontreatmentefficiencyfortraumaticbraininjuryintheemergencydepartmentamulticenterstudyintaiwan AT juchuanyen effectsofthecovid19pandemicontreatmentefficiencyfortraumaticbraininjuryintheemergencydepartmentamulticenterstudyintaiwan AT chiachiehwu effectsofthecovid19pandemicontreatmentefficiencyfortraumaticbraininjuryintheemergencydepartmentamulticenterstudyintaiwan AT hengyulin effectsofthecovid19pandemicontreatmentefficiencyfortraumaticbraininjuryintheemergencydepartmentamulticenterstudyintaiwan AT minhueihsu effectsofthecovid19pandemicontreatmentefficiencyfortraumaticbraininjuryintheemergencydepartmentamulticenterstudyintaiwan
_version_	1718411746750758912

Effects of the COVID-19 Pandemic on Treatment Efficiency for Traumatic Brain Injury in the Emergency Department: A Multicenter Study in Taiwan

Ejemplares similares