About: Aeromedical retrieval diagnostic trends during a period of Coronavirus 2019 lockdown

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Aeromedical retrieval diagnostic trends during a period of Coronavirus 2019 lockdown
Creator	Churilov, Leonid Gardiner, Fergus Gillam, Marianne Hanna, Michelle Hooper, Andrew Sharma, Pritish Steere, Mardi
Source	MedRxiv
abstract	Background: We aimed to compare the pre, lockdown, and post-lockdown aeromedical retrieval (AR) diagnostic reasons and patient demographics during a period of Coronavirus 2019 (COVID-19) social isolation. Methods: An observational study with retrospective data collection, consisting of Australians who received an AR between the 26 January to the 23 June 2020. The main outcome measures were patient diagnostic category proportions and trends prior (28 January to 15 March), during (16 March to 4 May), and following (5 May to 23 June 2020) social isolation restrictions. Results: There were 16981 ARs consisting of 1959 (11.5) primary evacuations (PE) and 12724 (88.5) inter-hospital transfer (IHT), with a population median age of 52 years old (interquartile range [IQR] 29.0 69.0), with 49.0% (n= 8283) of the cohort being male and 38.0% (n= 6399) being female. There were a total of 6 confirmed and 209 suspected cases of COVID-19, with the majority of cases (n=114; 53.0%) in the social isolation period. As compared to pre-restriction, the odds of retrieval for the restriction and post-restriction period differed across time between the major diagnostic groups. This included, an increase in cardiovascular retrieval for both restriction and post-restriction periods (OR 1.12 95% CI 1.02 1.24 and OR 1.18 95% CI 1.08 1.30 respectively), increases in neoplasm in the post restriction period (OR 1.31 95% CI 1.04 1.64), and increases for congenital conditions in the restriction period (OR 2.56 95% CI 1.39 4.71). Cardiovascular and congenital conditions had increased rates of priority 1 patients in the restriction and post restriction periods. There was a decrease in endocrine and metabolic disease retrievals in the restriction period (OR 0.72 95% CI 0.53 0.98). There were lower odds during the post-restriction period for a retrievals of the respiratory system (OR 0.78 95% CI 0.67 0.93), and disease of the skin (OR 0.78 95% CI 0.6 1.0). Distribution between the 2019 and 2020 time periods differed (p<0.05), with the lockdown period resulting in a significant reduction in activity. Conclusion: The lockdown period resulted in increased AR rates of circulatory and congenital conditions. However, this period also resulted in a reduction of overall activity, possibly due to a reduction in other infectious disease rates, such as influenza, due to social distancing.
has issue date	2020-08-19(xsd:dateTime)
bibo:doi	10.1101/2020.08.16.20176230
has license	medrxiv
sha1sum (hex)	7a9ca0c62e119556d63c32834cc02038ac6766a2
schema:url	https://doi.org/10.1101/2020.08.16.20176230
resource representing a document's title	Aeromedical retrieval diagnostic trends during a period of Coronavirus 2019 lockdown
resource representing a document's body	covid:7a9ca0c62e119556d63c32834cc02038ac6766a2#body_text
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