The changing pattern of acute spinal referrals during primary and secondary waves of the COVID‐19 pandemic
Autor: | Rajib Naskar, Kwaku W. Baryeh, Sindhu Pavuluri, Trichy Rajagopal |
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Rok vydání: | 2021 |
Předmět: |
spinal surgery
medicine.medical_specialty Nursing (miscellaneous) Coronavirus disease 2019 (COVID-19) Referral Psychological intervention Physical Therapy Sports Therapy and Rehabilitation spinal services Rheumatology COVID‐19 Pandemic Health care medicine Humans Orthopedics and Sports Medicine In patient General hospital Pandemics Referral and Consultation business.industry Rehabilitation COVID-19 Emergency department Hospitals District Spine Emergency medicine spinal trauma Chiropractics business Research Article |
Zdroj: | Musculoskeletal Care |
ISSN: | 1557-0681 1478-2189 |
Popis: | Introduction The COVID‐19 pandemic has had a devastating effect on health systems globally. This led to changes in patient access to healthcare particularly spinal services. This study investigates the impact of the pandemic on the volume of patients being referred to and accessing spinal services during both the first and second waves. Methods All emergency spinal referrals and related hospital attendances to the emergency department in a busy district general hospital were analysed. The data were evaluated at three time points each covering a 3‐month period. Data collected included patient demographics, duration and nature of symptoms, reason for referral, clinical and MRI findings, length of stay in hospital, any interventions performed and the follow‐up plan. Results There were a total of 316 emergency referrals across the three time periods. The number of referrals fell by 15% between the pre‐COVID‐19 period and the first wave. Comparing the first and second waves, the number of referrals was increased by 58%. Comparing the second wave to the pre‐COVID‐19 period, referrals were 34% greater in the second wave (p |
Databáze: | OpenAIRE |
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