| Author/Editor | Bizovičar, Nataša; Stručić, Marko; Goljar Kregar, Nika | |
| Title | Pandemija COVID-19 in možganskožilne bolezni | |
| Translated title | COVID-19 pandemic and cerebrovascular diseases | |
| Type | članek | |
| Source | 65166083 | |
| Vol. and No. | Letnik 20, št. supl. 1 | |
| Publication year | 2021 | |
| Volume | str. 124-131 | |
| Language | slv | |
| Abstract | Izhodišče: Pandemija COVID-19 je zelo obremenila zdravstvene sisteme. COVID-19 lahko na rehabilitacijsko obravnavo vpliva neposredno, saj okužba poveča tveganje za nastanek možganske kapi (MK), ali posredno zaradi otežene oskrbe bolnikov. Namen raziskave je bil ugotoviti, kako smo na Oddelku za rehabilitacijo pacientov po MK v času prvega in delu drugega vala epidemije COVID-19 opravljali ambulantne in bolnišnične storitve. Metode: V raziskavi smo retrospektivno pregledali medicinsko dokumentacijo pacientov od marca do decembra 2020. Zbrali smo število pregledanih pacientov v subspecialistični (SA-MK) in triažni ambulanti (TA-MK), število odpovedanih pregledov, število ambulantnih aplikacij toksina botulina, testiranj in prevzemov invalidskih vozičkov. Pri bolnišničnih pacientih smo zbrali splošne podatke o pacientih in MK. Za primerjavo številčnih spremenljivk med obema letoma smo uporabili t-test za neodvisna vzorca, za primerjavo opisnih spremenljivk pa test hi kvadrat. Rezultati: Od začetka epidemije do konca leta 2020 smo v TA-MK pregledali 12,0 %, v SA-MK pa 17,8 % manj pacientov kot leta 2019. V letu 2020 smo opravili 8,8 % več ambulantnih aplikacij toksina botulina in 10,8 % manj ambulantnih testiranj ter prevzemov vozička/skuterja kot leta 2019. Leta 2020 smo bolnišnično obravnavali 15,1 % manj pacientov kot leta 2019. Zaključki: Epidemija COVID-19 je povzročila velike spremembe pri bolnišnični in ambulantni obravnavi bolnikov po MK. Prisotni so nenehni izzivi med omogočanjem rehabilitacijskih storitev in zmanjšanjem tveganja za prenos okužbe. Posledice epidemije na bolnike po MK bodo verjetno še bolj izražene v letu 2021, zato so dosedanje izkušnje s prilagoditvami izvajanja rehabilitacije pomembne za čim boljšo oskrbo teh bolnikov.Background: The COVID-19 pandemic has placed a heavy burden on health systems. COVID-19 may affect rehabilitation treatment directly, as the infection increases the risk of stroke, or indirectly due to difficult patient care. The aim of the study was to determine how we performed outpatient and inpatient services at the Department for rehabilitation of patients after stroke during the first and part of the second wave of the COVID-19 epidemic. Methods: The study retrospectively reviewed medical records of patients from March to December 2020. We collected the number of examined patients in subspecialist (SUB) and triage outpatient clinic (TRI), the number of cancelled examinations, the number of outpatient applications of Botulinum toxin, testing and delivery of wheelchairs. For hospital patients, we collected general patient and stroke data. To compare numerical variables between the two years, we used the t-test for independent samples, and the chi-squared test for differences in the proportions of categorical variables. Results: From the beginning of the epidemic until the end of 2020, we examined 12.8% fewer patients in TRI and 17.8% fewer patients in SUB than in 2019. In 2020, we performed 8.8% more outpatient applications of Botulinum toxin and 10.8% fewer outpatient tests and deliveries of wheelchairs/scooters than in 2019. In 2020, we treated 15.1% fewer inpatients than in 2019. Conclusions The COVID-19 epidemic has caused major changes in the inpatient and outpatient treatment of patients after stroke. There are ongoing challenges between providing rehabilitation services and reducing the risk of infection transmission. The consequences of the epidemic on patients after stroke are likely to be even more pronounced in 2021, therefore the experience so far with adjustments to the implementation of rehabilitation is important for the best possible care of these patients. | |
| Descriptors | Stroke COVID-19 rehabilitation | |
| Keywords | COVID-19 možganska kap pandemija rehabilitacija COVID-19 stroke pandemic rehabilitation |