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The Impact of the Covid-19 Outbreak on Emergency Room Attendances of Surgical Patients

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ClinicalTrials.gov Identifier: NCT04338672
Recruitment Status : Recruiting
First Posted : April 8, 2020
Last Update Posted : April 21, 2020
Sponsor:
Information provided by (Responsible Party):
Sheba Medical Center

Brief Summary:
Since December 2019, when the novel coronavirus disease (Covid-19) spread throughout the world, data have been needed on the effects of the pandemic on various aspects of healthcare systems. Recommendations for social distancing and quarantine decrees made by local governments, alongside the general public fear from the spread of the virus, are presumed to have markedly affected the trends in hospitals visits. Understanding the exact nature of the effect is critical for better anticipating and preparing health systems in the event of future outbreaks and in the post outbreak period. Therefore we intend to To identify retrospectively all patients who presented to the emergency department at our medical institute between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020. We will examine the impact of COVID-19 on the rates of surgical emergency visits, ratio of surgical visits to non-surgical visits, the ratio of severe presentations to non-severe presentations, and the impact of age on ED attendance.

Condition or disease Intervention/treatment
Emergency Service, Hospital General Surgery Other: COVID-19 Pandemic

Detailed Description:

Since December 2019, when the novel coronavirus disease (Covid-19) spread throughout the world, data have been needed on the effects of the pandemic on various aspects of healthcare systems. Recommendations for social distancing and quarantine decrees made by local governments, alongside the general public fear from the spread of the virus, are presumed to have markedly affected the trends in hospitals visits. Understanding the exact nature of the effect is critical for better anticipating and preparing health systems in the event of future outbreaks and in the post outbreak period. Additionally, deferring hospitals visits can potentially put patients at increased risk for morbidity and mortality, especially in postsurgical patients. Evaluating the impact of the pandemic on patient volume can guide decision-making in future scenarios.

Previous infectious disease outbreaks have been shown to impact ED volumes: The US Hantavirus outbreak in 1993 led to a 2-fold increase in ED visits; Escherichia coli 0157:H7 outbreak in Washington state in 1993 increased ED visits by 17%; However, the 2003 SARS outbreaks in Hong Kong, Taiwan, and Toronto reduced tertiary care ED visits by up to 47 percent.

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Study Type : Observational
Estimated Enrollment : 10000 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: The Impact of the Coronavirus Disease 2019 (Covid-19) Outbreak on Emergency Room Attendances of Surgical Patients at a Tertiary Medical Center
Actual Study Start Date : April 5, 2020
Estimated Primary Completion Date : April 1, 2021
Estimated Study Completion Date : April 1, 2022

Group/Cohort Intervention/treatment
Pandemic Period
Patients who presented to the emergency department at our medical institute Sheba Medical Center between January 1 - March 31 in 2020.
Other: COVID-19 Pandemic
Exposure: the novel coronavirus disease (Covid-19) outbreak

Pre Pandemic Period
Patients who presented to the emergency department at our medical institute Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019,



Primary Outcome Measures :
  1. Rates of emergency visits needing surgical consult [ Time Frame: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020 ]
  2. The ratio of severe presentations to non-severe presentations [ Time Frame: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020 ]

Secondary Outcome Measures :
  1. The impact of age on ED attendance rates [ Time Frame: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020 ]
  2. Differences in ED surgical visits (in terms of capacity and severity) of surgical patients depending on the presentation and the co morbidity [ Time Frame: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020 ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
All patients aged >18 years old who attended the emergency department of Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020
Criteria

Inclusion Criteria:

  • All patients visiting the ER of Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

Exclusion Criteria:

  • Patients less than 18 years of age

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04338672


Contacts
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Contact: Roi Anteby, MD 19293011120 roi.anteby@sheba.health.gov.il

Locations
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Israel
Sheba Medical Center Recruiting
Ramat Gan, Israel
Contact: Roi Anteby, MD    +972545882207    roi.anteby@sheba.health.gov.il   
Sponsors and Collaborators
Sheba Medical Center
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Sheba Medical Center
ClinicalTrials.gov Identifier: NCT04338672    
Other Study ID Numbers: SMC-20-7078-YZ-CTIL
First Posted: April 8, 2020    Key Record Dates
Last Update Posted: April 21, 2020
Last Verified: April 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Sheba Medical Center:
Emergency
Surgery
Covid-19
Additional relevant MeSH terms:
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Emergencies
Disease Attributes
Pathologic Processes