COVID-19 in the Emergency Department of the Primary Healthcare Centre Banja Luka

Background / Aim: COVID-19 is acute virus disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). It was proclaimed as pandemic starting from March 2020 and is still ongoing. COVID-19 pandemic forced all segments of the society, particularly the health sector, to function...

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Main Authors: Banjac Nada, Ramić Ilija, Đokić Snježana, Pejić Tijana, Korać Igor, Stojisavljević Đorđe, Todorović Nevena
Format: Article
Language:English
Published: Medical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of Medicine 2022-01-01
Series:Scripta Medica
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2022/2490-33292201021B.pdf
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author Banjac Nada
Ramić Ilija
Đokić Snježana
Pejić Tijana
Korać Igor
Stojisavljević Đorđe
Todorović Nevena
author_facet Banjac Nada
Ramić Ilija
Đokić Snježana
Pejić Tijana
Korać Igor
Stojisavljević Đorđe
Todorović Nevena
author_sort Banjac Nada
collection DOAJ
description Background / Aim: COVID-19 is acute virus disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). It was proclaimed as pandemic starting from March 2020 and is still ongoing. COVID-19 pandemic forced all segments of the society, particularly the health sector, to function in changed and aggravating circumstances and because of the transmission and new strains of the virus it resulted in the change of the number of infected people with peaks and oscillations. Aim of this study was to make analysis of the data related to COVID-19 positive/suspect patients examined in the Primary Healthcare Centre Banja Luka in the period 15 March 2020 - 15 March 2021, which refers to the incidence of the infected persons, sex and age representation, laboratory diagnostics and clinical parameters, applied therapy, as well as the number of patients sent for the hospital treatment. Methods: Data for the analysis were obtained by the retrospective analysis of the statistical data from the electronic medical record of the examined COVID-19 positive/suspect patients in the Outpatient Clinic for Acute Respiratory Infections (ARI) and in the field. Pearson's ch2 test of contingency was used for the comparison of differences of the observed characteristics of the examined groups. Results: Personnel of the Emergency Department (ED) of the Primary Healthcare Centre Banja Luka, in the period 15 March 2020 - 15 March 2021, examined the total of 3,937 COVID-19 positive patients and patients suspect of COVID-19. Out of that number, 3,601 patients were examined in the ED - ARI and 336 patients were examined in the field. The biggest number of patients was registered in November 2020 (768). Male sex prevailed (55.50 %) and patients of 20-50 years of age were most represented. There were 3.10 % of those highly febrile patients and 2.5 % of those with low SpO2 of under 90 %. 14.90 % of patients had higher values of troponin T and 45.50 % of them had higher values of D-dimer. In the field, 69.60 % of patients had pathological changes on lungs and 33.30 % had pathological ECG report. The number of patients sent from the ARI for further diagnostic procedure or hospitalisation to the Clinic for Infectious Diseases of the University Clinical Centre of Banja Luka was 1,191 and 258 patients were sent from the field. Conclusion: For the purpose of preventing the spread of epidemics, the ED reorganised the existing space by introducing temporary clinics - containers for the patients with acute respiratory infections and febrile status, COVID-19 suspects. Clinical parameters changed depending on the new virus strains, as well as on age distribution and infection complications.
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spelling doaj.art-7f590198c0bf4762a1181ecf8ce290352022-12-22T00:14:20ZengMedical Society of the Republic of Srpska, Banja Luka, University of Banja Luka. Faculty of MedicineScripta Medica2490-33292303-79542022-01-01531212810.5937/scriptamed53-362792490-33292201021BCOVID-19 in the Emergency Department of the Primary Healthcare Centre Banja LukaBanjac Nada0Ramić Ilija1Đokić Snježana2Pejić Tijana3Korać Igor4Stojisavljević Đorđe5Todorović Nevena6Primary Healthcare Centre, Emergency Department, Banja Luka, the Republic of Srpska, Bosnia and HerzegovinaPrimary Healthcare Centre, Emergency Department, Banja Luka, the Republic of Srpska, Bosnia and HerzegovinaPrimary Healthcare Centre, Emergency Department, Banja Luka, the Republic of Srpska, Bosnia and HerzegovinaPrimary Healthcare Centre, Emergency Department, Banja Luka, the Republic of Srpska, Bosnia and HerzegovinaPrimary Healthcare Centre, Emergency Department, Banja Luka, the Republic of Srpska, Bosnia and HerzegovinaUniversity of Banja Luka, Faculty of Medicine, Banja Luka, the Republic of Srpska, Bosnia and HerzegovinaUniversity of Banja Luka, Faculty of Medicine, Banja Luka, the Republic of Srpska, Bosnia and HerzegovinaBackground / Aim: COVID-19 is acute virus disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). It was proclaimed as pandemic starting from March 2020 and is still ongoing. COVID-19 pandemic forced all segments of the society, particularly the health sector, to function in changed and aggravating circumstances and because of the transmission and new strains of the virus it resulted in the change of the number of infected people with peaks and oscillations. Aim of this study was to make analysis of the data related to COVID-19 positive/suspect patients examined in the Primary Healthcare Centre Banja Luka in the period 15 March 2020 - 15 March 2021, which refers to the incidence of the infected persons, sex and age representation, laboratory diagnostics and clinical parameters, applied therapy, as well as the number of patients sent for the hospital treatment. Methods: Data for the analysis were obtained by the retrospective analysis of the statistical data from the electronic medical record of the examined COVID-19 positive/suspect patients in the Outpatient Clinic for Acute Respiratory Infections (ARI) and in the field. Pearson's ch2 test of contingency was used for the comparison of differences of the observed characteristics of the examined groups. Results: Personnel of the Emergency Department (ED) of the Primary Healthcare Centre Banja Luka, in the period 15 March 2020 - 15 March 2021, examined the total of 3,937 COVID-19 positive patients and patients suspect of COVID-19. Out of that number, 3,601 patients were examined in the ED - ARI and 336 patients were examined in the field. The biggest number of patients was registered in November 2020 (768). Male sex prevailed (55.50 %) and patients of 20-50 years of age were most represented. There were 3.10 % of those highly febrile patients and 2.5 % of those with low SpO2 of under 90 %. 14.90 % of patients had higher values of troponin T and 45.50 % of them had higher values of D-dimer. In the field, 69.60 % of patients had pathological changes on lungs and 33.30 % had pathological ECG report. The number of patients sent from the ARI for further diagnostic procedure or hospitalisation to the Clinic for Infectious Diseases of the University Clinical Centre of Banja Luka was 1,191 and 258 patients were sent from the field. Conclusion: For the purpose of preventing the spread of epidemics, the ED reorganised the existing space by introducing temporary clinics - containers for the patients with acute respiratory infections and febrile status, COVID-19 suspects. Clinical parameters changed depending on the new virus strains, as well as on age distribution and infection complications.https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2022/2490-33292201021B.pdfcovid-19emergency departmentoutpatient clinic for acute respiratory infectionsclinical parameters
spellingShingle Banjac Nada
Ramić Ilija
Đokić Snježana
Pejić Tijana
Korać Igor
Stojisavljević Đorđe
Todorović Nevena
COVID-19 in the Emergency Department of the Primary Healthcare Centre Banja Luka
Scripta Medica
covid-19
emergency department
outpatient clinic for acute respiratory infections
clinical parameters
title COVID-19 in the Emergency Department of the Primary Healthcare Centre Banja Luka
title_full COVID-19 in the Emergency Department of the Primary Healthcare Centre Banja Luka
title_fullStr COVID-19 in the Emergency Department of the Primary Healthcare Centre Banja Luka
title_full_unstemmed COVID-19 in the Emergency Department of the Primary Healthcare Centre Banja Luka
title_short COVID-19 in the Emergency Department of the Primary Healthcare Centre Banja Luka
title_sort covid 19 in the emergency department of the primary healthcare centre banja luka
topic covid-19
emergency department
outpatient clinic for acute respiratory infections
clinical parameters
url https://scindeks-clanci.ceon.rs/data/pdf/2490-3329/2022/2490-33292201021B.pdf
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