COVID-19 and Acute Medical Care: Impact on Dementia Patients

COVID-19 和紧急医疗护理：对痴呆症患者的影响

基本信息

批准号：
10168228
负责人：
JOHN HSU
金额：
$ 65.42万
依托单位：
MASSACHUSETTS GENERAL HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-30 至 2023-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10168228
关键词：
2019-nCoV Accident and Emergency department Accounting Acute Acute myocardial infarction Address Affect Area Attention Beds COVID-19 Caring Cessation of life Clinical Clinical Data Country Critical Care Crowding Data Data Sources Death Certificates Dementia Diagnosis Disease Disease Outbreaks Documentation Elderly Electronic Health Record Event Family health status Frequencies Future Health system Healthcare Heterogeneity Home environment Hospitalization Hospitals Infection Intervention Lead Link Massachusetts Measures Medical Methods Modeling Myocardial Infarction Outcome Patient-Focused Outcomes Patients Pattern Population Preparation Procedures Reporting Resource Allocation Resources Seizures Sentinel Services Shock Stress Stroke Subgroup Sum System Test Result Testing Time Uncertainty Vaccines Virus Virus Diseases Visit Vulnerable Populations Waxes care seeking comparative coronavirus disease cost disease transmission experience falls high risk improved intervention effect meetings mortality risk novel older patient pandemic disease preventable death response spatial relationship telehealth time use

项目摘要

Abstract. The SARS-CoV-2 virus has resulted in hundreds of thousands of deaths across the globe and overwhelmed many health systems. In Massachusetts alone, there have been over five thousand deaths over a two month period attributable directly to COVID-19, i.e., the disease resulting from viral infection. Lacking a vaccine or definitive treatment, slowing disease spread such that daily demand falls within the capacity of local medical systems is the immediate priority for this outbreak, but the changes involved with such mitigation efforts could be costly. For example, many hospitals have implemented changes to increase capacity for COVID-19 patients, e.g., delaying elective procedures and shifting resources across service lines, which could impact care for other conditions requiring time-sensitive care, e.g., strokes or heart attacks. There currently is limited information on the impact of the outbreak on non-infection, acute medical conditions. There also is little information on how hospital responses impact patient outcomes. Given concerns about future outbreaks in other states, as well as additional repeat outbreaks (or waves of disease transmission), there is a critical need for these types of information. In this project, we will address two aims: 1) to examine the impact of the COVID-19 demand shock on acute medical care received in the Emergency Department (ED) or hospital; and 2) to examine hospital responses to the demand shock and their impact on clinical event rates. We will use novel, linked real-time data sources to address these questions overall and for vulnerable population subgroups such as patient with dementia. Indeed, the early reports suggest that the elderly are disproportionally affected by COVID-19 itself and potentially the health system’s changes in response to the outbreak. These data could inform preparation for future COVID-19 outbreak waves occurring later this year, as well as future transmissible disease outbreaks.

抽象的。 SARS-CoV-2 病毒已导致全球数十万人死亡，仅在马萨诸塞州就有超过五个卫生系统不堪重负。两个月内有 1000 人死亡直接归因于 COVID-19，即该疾病由病毒感染引起的，缺乏疫苗或明确的治疗方法，减缓了疾病的传播。使日常需求落入当地医疗系统的承受能力是当务之急这是此次疫情爆发的优先事项，但此类缓解措施所涉及的改变可能代价高昂。例如，许多医院已实施变革以提高应对 COVID-19 的能力患者，例如，推迟选择性手术和跨服务线转移资源，这可能会影响对其他需要时间敏感护理的疾病的护理，例如中风或心脏病目前有关疫情对非感染影响的信息有限。关于医院应对措施如何影响的信息也很少。考虑到对其他州未来疫情爆发以及其他情况的担忧。重复爆发（或疾病传播浪潮），迫切需要这些类型的在这个项目中，我们将实现两个目标：1) 检查 COVID-19 的影响。对在急诊室 (ED) 或医院接受的紧急医疗护理要求休克； 2) 检查医院对需求冲击的反应及其对临床事件的影响我们将使用新颖的、链接的实时数据源来全面解决这些问题。事实上，对于痴呆症患者等弱势群体来说，早期的报告显示。表明老年人受到 COVID-19 本身以及潜在的潜在影响的程度不成比例这些数据可以为卫生系统应对疫情的变化提供信息。今年晚些时候发生的未来 COVID-19 爆发浪潮以及未来的传播疾病爆发。