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 J^{3, 4} ; Hussain SZM⁵ ; Shrestha R⁶ ; Yaqoob U⁷ ; Aryanpoor P² ; Nikkhoo AM² ; Heidari P² ; Jahromi AR² ; Rayatdoost E² ; Ali A^{8, 9} ; Javdani F² ; Farzaneh R¹⁰ Show All Authors
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).