We have detected that you are using an Ad Blocker. PracticeUpdate is free to end users but we rely on advertising to fund our site. Please consider supporting PracticeUpdate by whitelisting us in your ad blocker.
We have sent a message to the email address you have provided, . If this email is not correct, please update your settings with your correct address.
The email address you provided during registration, , does not appear to be valid. Please update your settings with a valid address before to continue using PracticeUpdate.
Welcome to PracticeUpdate! We hope you are enjoying access to a selection of our top-read and most recent articles. Please register today for a free account and gain full access to all of our expert-selected content.
You can find your saved items on your dashboard, in the "saved" tab.
You've recommended your first item
Your recommendations help us improve our content suggestions for you and other PracticeUpdate members.
You've subscribed to your first topic alert
What does that mean?
Each day, we'll check to see if new items have been published to the topics you're subscribed to, and we'll send you one email with all of the new items from that day.
We'll keep all topic alert notifications available on your dashboard for 30 days, to make sure you don't miss anything.
Lastly, whenever you have unread items in the topics you've subscribed to, the "Alerts" icon will light up in the main menu. Just click on the bell to see your five most-recent, unread notifications.
This study characterized the nature of urological patients admitted to the emergency department (ED) in Lombardy during the Italian COVID-19 outbreak, comparing it with a reference population from 2019. The authors found a significant reduction of the admissions to the ED by urological patients after the Italian lockdown establishment (-77%) compared with the reference period of 2019, which inversely correlated with the increasing incidence of COVID-19. During the COVID-19 outbreak, the patients admitted were generally more demanding, requiring a higher rate of urgent surgeries.
The authors conclude that emergency urology changed during the COVID-19 outbreak, both qualitatively and quantitatively. The spectrum of patients admitted seemed relatively more critical, often requiring an urgent management. Further study on provider and institution practice patterns during the pandemic is needed.
– Gautam Jayram, MD
This abstract is available on the publisher's site.
To quantify and characterize the burden of urological patients admitted to emergency department (ED) in Lombardy during Italian COVID-19 outbreak, comparing it to a reference population from 2019.
We retrospectively analyzed all consecutive admissions to ED from 1st January to 9thApril, in both 2019 and 2020. According to the ED discharge ICD-9-CM code, patients were grouped in urological and respiratory patients. We evaluated the type of access (self-presented/ambulance), discharge priority code, ED discharge (hospitalization, home), need for urological consultation or urgent surgery.
The number of urological diagnoses in ED was inversely associated to COVID-19 diagnoses (CI 95% -0.41/-0.19; Beta=-0.8; p<0.0001). The average access per day was significantly lower after 10th March 2020 (1.5±1.1 vs 6.5±2.6; p<0.0001), compared to reference period. From 11th March 2020, the inappropriate admissions to ED were reduced (10/45 vs 96/195; p=0.001). Consequently, the patients admitted were generally more demanding, requiring a higher rate of urgent surgeries (4/45 vs 4/195; p=0.02). This reflected in an increase of the hospitalization rate from 12.7% to 17.8% (Beta=0.88; p<0.0001) during 2020.
Urological admissions to ED during lockdown differed from the same period of 2019 both qualitatively and quantitatively. The spectrum of patients seems to be relatively more critical, often requiring an urgent management. These patients may represent a challenge due to the difficult circumstances caused by the pandemic.