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Emergency department visits and hospital admissions in kidney transplant recipients during the COVID-19 pandemic:A hospitalbased study

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World Journal of Transplantation 2022年第8期12卷 250-258页

作者： Wachira Wongtanasarasin Phichayut Phinyo Department of Emergency Medicine Faculty of MedicineChiang Mai UniversityChiang Mai 50200Thailand Department of Emergency Medicine UC Davis School of MedicineSacramentoCA 95817United States Department of Family Medicine Faculty of MedicineChiang Mai UniversityChiang Mai 50200Thailand Center for Clinical Epidemiology and Clinical Statistics Faculty of MedicineChiang Mai UniversityChiang Mai 50200Thailand

BACKGROUND Several studies have demonstrated that the coronavirus disease 2019(COVID-19)has affected daily living and the healthcare *** previous study has described the consequences of COVID-19 on emergency department(ED)visits and hospital admission among kidney transplant(KT)*** To investigate the impact of the COVID-19 pandemic on ED visits and hospital admissions within 1 year in patients who underwent KT in *** We conducted a retrospective study at a university hospital in *** reviewed the hospital records of KT patients who visited the ED during the outbreak of COVID-19(from January 2020 to December 2021).We used the previous 2 years as the control period in the *** obtained baseline demographics and ED visit characteristics for each KT *** outcomes of interest were ED visits and ED visits leading to hospital admission within the 1^(st)year following a *** rate of ED visits and ED visits leading to hospital admissions between the two periods were compared using the stratified Cox proportional hazards *** A total of 263 patients were included in this study:112 during the COVID-19 period and 151 during the control *** were 34 and 41 ED visits after KT in the COVID-19 and control periods,*** rate of first ED visit at 1 year was not significantly different in the COVID-19 period,compared with the control period[hazard ratio(HR)=1.02,95%confidence interval(CI):0.54-1.92;P=0.96].The hospital admission rate was similar between periods(HR=0.92,95%CI:0.50-1.69;P=0.78).CONCLUSION ED visits and hospital admissions within the 1st year in KT recipients were not affected by the COVID-19 *** these findings,we believe that communication between post-KT patients and healthcare providers is essential to highlight the importance of prompt ED visits for acute health conditions,particularly in post-KT patients.

关键词： Emergency department visit Hospital admission Kidney transplant COVID-19 acute health conditions

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