目的:推测严格的封锁会导致严重疾病的诊断和治疗延迟,导致入院时更高的敏锐度。这应该根据案件的估计敏锐度来阐述,住院期间发现的变化,年龄结构和生物性别。
方法:回顾性单中心横断面研究。
方法:德国神经放射科。
方法:2019年,在2020年(第11-13周)的第一次硬锁定期间,n=1158例患者入院,而n=884例患者入院。
方法:三位放射科医师评估了初始病例的敏锐度,将它们分为三组(不是急性的,亚急性和急性),并评估是否有相关的临床恶化。数据分析采用非参数方法和多元回归分析。
结果:从2019年到2020年,检查次数减少了24%(p=0.025)。在女性中,在封锁期间,病例敏锐度增加了21%(p=0.002)。男性急性病例减少了30%(女性减少了5%)。女性和男性的急性病例均未减少(47%;24%),而亚急性病例在男性中保持稳定(0%),在女性中下降(28%)。回归分析显示年龄越高,敏锐度越高(两性p<0.001),特别是在禁闭期间收治的女性(p=0.006)。
结论:封锁导致神经放射会诊减少,延误寻求医疗护理。在女性中,最严重的病例数量保持稳定,而平均病例视力和年龄增加。这可能是由于女性与流行病相关的焦虑情绪更大,然而,症状严重,他们正在寻求医疗帮助。相比之下,在男性中,最严重病例的绝对数量减少,而平均视力和年龄几乎不受影响。这可能归因于寻求医疗咨询的意愿降低。
OBJECTIVE: A hard lockdown was presumed to lead to delayed diagnosis and treatment of serious diseases, resulting in higher acuity at admission. This should be elaborated based on the estimated acuity of the cases, changes in findings during hospitalisation, age structure and biological sex.
METHODS: Retrospective monocentric cross-sectional study.
METHODS: German Neuroradiology Department at a .
METHODS: In 2019, n=1158 patients were admitted in contrast to n=884 during the first hard lockdown in 2020 (11th-13th week).
METHODS: Three radiologists evaluated the initial case acuity, classified them into three groups (not acute, subacute and acute), and evaluated if there was a relevant clinical deterioration. The data analysis was conducted using non-parametric methods and multivariate regression analysis.
RESULTS: A 24% decrease in the number of examinations from 2019 to 2020 (p=0.025) was revealed. In women, the case acuity increased by 21% during the lockdown period (p=0.002). A 30% decrease in acute cases in men was observable (in women 5% decrease). Not acute cases decreased in both women and men (47%; 24%), while the subacute cases remained stable in men (0%) and decreased in women (28%). Regression analysis revealed the higher the age, the higher the acuity (p<0.001 in both sexes), particularly among women admitted during the lockdown period (p=0.006).
CONCLUSIONS: The lockdown led to a decrease in neuroradiological consultations, with delays in seeking medical care. In women, the number of most severe cases remained stable, whereas the mean case acuity and age increased. This could be due to greater pandemic-related anxiety among women, however, with severe symptoms they were seeking for medical help. In contrast in men, the absolute number of most severe cases decreased, whereas the mean acuity and age remained nearly unaffected. This could be attributable to a reduced willingness to seek for medical consultation.