Temporal and clinical distribution of 112 emergency call system use of geriatric patients during novel coronavirus pandemic process

Temporal and clinical distribution of 112 emergency call system use of geriatric patients during novel coronavirus pandemic process

112 emergency call system is crucial for geriatric patients because the safe and secure transport of these patients can decrease mortality and morbidity. The present study was a temporal and clinical evaluation of cases with COVID-19 and non-COVID-19 older than 65 years of age during the pandemic. Of the 10948 cases accepted diagnosed with novel coronavirus between March 11 and May 1, 2020, 51.6% (n=5650) were female, 48.4% (n=5298) were male and the median age was 75.0 (70.0-81.0) years. The patients were compared concerning age, gender, month distribution, symptoms, comorbidity, computed tomography results, hospitalization, and discharge criteria. Concerning symptoms, the findings showed that 50.0% (n=5476) had high fever, 50.3% (n=5504) had cough, 59.5% (n=6509) had shortness of breath. Atypical complaints were found in 21.3% (n=2337) of the patients. Concerning comorbidity, 10.3% (n=1126) had hypertension, 5.8% (n=633) had diabetes mellitus, 7.2% (n=784) had chronic obstructive pulmonary disease and 0.9% (n=95) had cerebrovascular disease. The findings showed that 26.0% of the cases were hospitalized, while 74.0% (n=8098) were discharged. In 112 call center calls, being more careful and alert in the anamnesis of the geriatric patient group defined as important concerning the atypical course and potential risk factors and in the use of protective equipment is important for safe and secure transport of patients and since this will decrease mortality and morbidity.

___

  • 1. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet. 2020;395:497–506.
  • 2. Wu JT, Leung K, Bushman M, et al. Estimating clinical severity of COVID-19 from the transmission dynamics in Wuhan, China. Nat Med. 2020;26:506-10.
  • 3. Wu YC, Chen CS, Chan YJ. The outbreak of COVID-19: An overview. Journal of the Chinese Medical Association. 2020;83:217-20.
  • 4. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020;109:102433.
  • 5. Dong L, Hu S, Gao J. Discovering drugs to treat coronavirus disease 2019 (COVID-19) Drug Discov Ther. 2020;14:58-60.
  • 6. Basile C, Combe C, Pizzarelli F, et al. On behalf of the EUDIAL Working Group of ERA-EDTA. Recommendations for the prevention, mitigation, and containment of the emerging SARS-CoV-2 (COVID-19) pandemic in hemodialysis centers, Nephrol Dial Transplant. 2020;35:737-41.
  • 7. Wang L, Wang Y, Ye D, Liu Q. A review of the 2019 Novel Coronavirus (COVID-19) based on current evidence. Int J Antimicrob Agents. 2020;55:105948.
  • 8. Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020:1054-62.
  • 9. D'Adamo H, Yoshikawa T, Ouslander JG. Coronavirus Disease 2019 in Geriatrics and Long-term Care: The ABCDs of COVID-19. J Am Geriatr Soc. 2020;912-7.
  • 10. Xu XW, Xu XX, Jiang XG, et al. Clinical findings in a group of patients infected with the 2019 novel coronavirus (SARS-Cov-2) outside of Wuhan, China: retrospective case series. BMJ. 2020;368:606.
  • 11. Song F, Shi N, Shan F, et al. Emerging 2019 Novel Coronavirus (2019- nCoV) Pneumonia. Radiology. 2020;295:210-7.
  • 12. Qin C, Zhou L, Hu Z, et al. Dysregulation of the immune response in patients with COVID-19 in Wuhan, China. Clin Infect Dis. 2020;71:762-8.
  • 13. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020;323:1239-42.
  • 14. Wang D, Hu B, Hu C, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323:1061-9.
  • 15. Chen T, Wu D, Chen H, et al. Clinical characteristics of 113 deceased patients with coronavirus disease 2019: a retrospective study. BMJ, 2020;368:1091.
  • 16. CDC COVID-19 Response Team. Preliminary Estimates of the Prevalence of Selected Underlying Health Conditions Among Patients with Coronavirus Disease 2019-United States, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:382-6.
  • 17. Lighter J, Phillips M, Hochman S, et al. Obesity in patients younger than 60 years is a risk factor for the COVID-19 hospital admission. Clin Infect Dis. 2020;71:896-7.
  • 18. Centers for Disease Control and Prevention. People who are at higher risk for severe illness. https://www.cdc.gov/coronavirus/2019-ncov/needextraprecautions/people-at-higherrisk. Accessed: 2020.
  • 19. McMichael TM, Currie DW, Clark S, et al. Epidemiology of COVID-19 in a Long-Term Care Facility in King County, Washington. N Engl J Med. 2020;382:2005-11.
  • 20. Akcay S, Özlü T, Yılmaz A. Radiological Approaches to Covid-19 Pneumonia. Turk J Med Sci. 2020;50:604-10.
  • 21. Xie X, Zhong Z, Zhao W, et al. Chest CT for Typical 2019-nCoV Pneumonia: Relationship to Negative RT-PCR Testing. Radiology. 2020;296:41-5.
  • 22. Fang Y, Zhang H, Xie J, et al. Sensitivity of Chest CT for COVID19:Comparison to RT-PCR. Radiology. 2020;296:115-7.
  • 23. Ai T, Yang Z, Hou H, et al. Correlation of Chest CT and RT-PCR Testing in Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology. 2020;296:32-40.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

The clinical and histopathological effects of perineural dexmedetomidine in combination with bupivacaine in sciatic nerve block in rabbits undergoing sevoflurane anesthesia

Reşit SEVİMLİ, Sedat AKBAŞ, Erol KARAASLAN, Ahmet Selim ÖZKAN, Saadet ALAN

Antibiotic susceptibility of escherichia coli strains isolates determined as a cause of urinary tract infection in pediatric patients

Ali GÖZÜKÜÇÜK, Basri ÇAKIROĞLU

An investigation of the effects of total hip arthroplasty with femoral shortening in unilateral Crowe type-IV dysplastic hips on sagittal spinopelvic parameters

Ferdi DİRVAR, Hakan AKGÜN, Furkan YAPICI, Deniz KARGIN, Alper KÖKSAL, Osman ÇİMEN, Kadir ABUL

Temporal and clinical distribution of 112 emergency call system use of geriatric patients during novel coronavirus pandemic process

Abdullah Emre GÜNER, Kenan Ahmet TÜRKDOĞAN, Figen TUNALI TÜRKDOĞAN, Şükrü YORULMAZ

New approaches in treatment of acute myeloid leukemia

Ebru KOCA

Retrospective evaluation of anesthesia experience of patients who underwent sleeve gastrectomy

Erdinç KOCA

Opinions of syrian refugee and turkish citizen pregnant women regarding the ministry of health's practices to combating smoking

Şerif KURTULUŞ, Remziye CAN

Associations among chondromalacia patella and meniscopathy in youthful, active individuals with chronic anterior knee pain

Bünyamin ARI, Mehmet AKÇİÇEK

Retrospective investigation of the effect of Vitamin B12 deficiency on hemogram parameters

Müjgan GÜRLER, Orhan YAZAR

Traumatic lung pathologies confused with COVID-19

Özlem AKDOĞAN, Derya YAPAR, Hülya TOPÇU, Sertaç ARSLAN, Hilal BOYACI, Yasemin ARI YILMAZ, Aysel KOCAGÜL ÇELİKBAŞ, Nurcan BAYKAL