المؤلفون: Mitura, Krzysztof Marek¹ (AUTHOR) miturak@op.pl, Celiński, Daniel² (AUTHOR), Snarska, Jadwiga³ (AUTHOR), Szajda, Sławomir Dariusz⁴ (AUTHOR) miturak@op.pl

المصدر: Journal of Clinical Medicine. Jun2024, Vol. 13 Issue 12, p3552. 11p.

مصطلحات موضوعية: *COVID-19 pandemic, *OLDER patients, *EMERGENCY medical services, *SARS-CoV-2, *MANN Whitney U Test

مصطلحات جغرافية: POLAND

مستخلص: Background: Despite organised efforts, the COVID-19 pandemic had a significant impact on the health status of the population and health services including the emergency medical system. The objective of the study was to investigate, based on the Emergency Medical Teams' (EMT) interventions, the impact of the COVID-19 pandemic on health and life emergencies resulting from illness cases and injuries of Polish females and males. Material and Methods: The data under analysis concern EMT interventions carried out in central and eastern Poland from 1 January 2017 to 31 December 2022 (n = 226,038). The study used descriptive statistics, the Mann–Whitney U Test, and the Chi-square test. Results: A significant increase was observed in the proportion of EMT interventions (p < 0.001) to patients with illness cases (80.30% vs. 83.17%) and a decrease in interventions to patients with injuries (19.70% vs. 16.83%) during the pandemic as compared to the pre-pandemic period. As for illness cases, the patients' ages during both periods were similar (Me = 66.00 vs. 66.00, p = 0.071). On the other hand, during the pandemic, injuries mainly affected elderly patients as compared to the pre-pandemic period (Me = 50.00 vs. 47.00, p < 0.001). The increase in the proportion of EMT interventions to patients with illness cases and the decrease in patients with injuries during the pandemic, as compared to the pre-pandemic period, concerned the area of intervention, patient's sex, and age. During the pandemic period, a significantly lower proportion of patients transported to the hospital (p < 0.001) and an increase in the proportion of patients left at the place of call (p < 0.001) were noted. Conclusions: The restrictions aimed at preventing the spread of the SARS-CoV-2 virus contributed to a reduced number of injuries without, however, reducing the number of illness cases. During the pandemic, the elderly were affected by injuries. The study indicates the need for further in-depth analyses to prepare the pre-hospital care system in Poland for the occurrence of other or similar emergencies. [ABSTRACT FROM AUTHOR]

المؤلفون: Miłowski, Tadeusz, Mitura, Krzysztof Marek, Celiński, Daniel, Perłowski, Tomasz, Jastrzębski, Paweł, Zalewska-Szajda, Beata, Szajda, Sławomir Dariusz

المصدر: Medical Research Journal (2451-2591); 2024, Vol. 9 Issue 1, p113-119, 7p

مصطلحات موضوعية: EMERGENCY medical technicians, EMERGENCY medical services, WAR, COMMUNITIES, HOSPITALS, AMBULANCES, MEDICAL emergencies, POLISH people, PUBLIC welfare, RESCUE work

مصطلحات جغرافية: POLAND

مستخلص: Gradually progressing civilizational development and the creation of advanced forms of social organization affected the number and scope of potential threats to which societies were subject. Thus, these threats have led to the organization of medical rescue systems that are capable of providing effective assistance in the event of a sudden threat to life and health. The first organized forms of providing medical assistance in emergencies date back to antiquity and should be sought in military organizations and warfare. In turn, medieval religious communities are considered to be the prototype of organized medical assistance provided to the sick and injured. However, it was only at the end of the 19th century that emergency services were created, the organization and operation of which are still evolving, adequately to social expectations resulting from the scope of potential threats. [ABSTRACT FROM AUTHOR]

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المؤلفون: Mitura, Krzysztof Marek, Celiński, Daniel, Jastrzębski, Paweł, Leszczyński, Piotr Konrad, Gałązkowski, Robert, Szajda, Sławomir Dariusz

المصدر: International Journal of Environmental Research & Public Health; Feb2023, Vol. 20 Issue 3, p1863, 11p