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Scientific paper - Original scientific paper
The Impact of Patient’s Fear of COVID-19 Infection on Neurology Service in University Hospital Center Sestre Milosrdnice During COVID-19 Epidemic Outbreak
Archives of Psychiatry Research : An International Journal of Psychiatry and Related Sciences, 57 (2021), 2; 167-176. https://doi.org/10.20471/dec.2021.57.02.05
(Neurology Collaboration Group) Lovrenčić-Huzjan, Arijana; Roje-Bedeković, Marina

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Lovrenčić Huzjan, A. & Roje Bedeković, M. (2021). The Impact of Patient’s Fear of COVID-19 Infection on Neurology Service in University Hospital Center Sestre Milosrdnice During COVID-19 Epidemic Outbreak. Archives of Psychiatry Research : An International Journal of Psychiatry and Related Sciences, 57. (2), 167-176. doi: 10.20471/dec.2021.57.02.05

Lovrenčić Huzjan, Arijana and Marina Roje Bedeković. "The Impact of Patient’s Fear of COVID-19 Infection on Neurology Service in University Hospital Center Sestre Milosrdnice During COVID-19 Epidemic Outbreak." Archives of Psychiatry Research : An International Journal of Psychiatry and Related Sciences, vol. 57, no. 2, 2021, pp. 167-176. https://doi.org/10.20471/dec.2021.57.02.05

Lovrenčić Huzjan, Arijana and Marina Roje Bedeković. "The Impact of Patient’s Fear of COVID-19 Infection on Neurology Service in University Hospital Center Sestre Milosrdnice During COVID-19 Epidemic Outbreak." Archives of Psychiatry Research : An International Journal of Psychiatry and Related Sciences 57, no. 2 (2021): 167-176. https://doi.org/10.20471/dec.2021.57.02.05

Lovrenčić Huzjan, A. and Roje Bedeković, M. (2021) 'The Impact of Patient’s Fear of COVID-19 Infection on Neurology Service in University Hospital Center Sestre Milosrdnice During COVID-19 Epidemic Outbreak', Archives of Psychiatry Research : An International Journal of Psychiatry and Related Sciences, 57(2), pp. 167-176. doi: 10.20471/dec.2021.57.02.05

Lovrenčić Huzjan A, Roje Bedeković M. The Impact of Patient’s Fear of COVID-19 Infection on Neurology Service in University Hospital Center Sestre Milosrdnice During COVID-19 Epidemic Outbreak. Archives of Psychiatry Research : An International Journal of Psychiatry and Related Sciences [Internet]. 2021 [cited 2024 December 29];57(2):167-176. doi: 10.20471/dec.2021.57.02.05

A. Lovrenčić Huzjan and M. Roje Bedeković, "The Impact of Patient’s Fear of COVID-19 Infection on Neurology Service in University Hospital Center Sestre Milosrdnice During COVID-19 Epidemic Outbreak", Archives of Psychiatry Research : An International Journal of Psychiatry and Related Sciences, vol. 57, no. 2, pp. 167-176, 2021. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:063037. [Accessed: 29 December 2024]

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Metadata
Title (english)The Impact of Patient’s Fear of COVID-19 Infection on Neurology Service in University Hospital Center Sestre Milosrdnice During COVID-19 Epidemic Outbreak
Title (croatian)Utjecaj straha bolesnika od infekcije COVID-19 na neurološku službu u Kliničkom bolničkom centru Sestre Milosrdnice tijekom izbijanja epidemije COVID -19
AuthorArijana Lovrenčić-Huzjan
AuthorMarina Roje-Bedeković
CollaborationNeurology Collaboration Group
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Increasing evidence suggests that patients with medical emergencies are avoiding the emergency department because of fear of coronavirus disease 2019 (COVID-19) infection, leading to increased morbidity and mortality due to other diseases. In order to analyse the impact of patient’s fear of COVID-19 on the admittance rate of stroke patients and severity of neurological diseases, we compared the stroke admittance rate, numbers of thrombectomies and thrombolysis and hospitalization refusal rate during the time period from March 1st until June 30th 2020 in temporal relationship with the rising numbers of COVID-19 cases in Croatia. We assessed the patients’ neurologic disease severity measured by ventilation time and mortality rate in the same time period. We compared the data with the data obtained from the same time period in 2019. We observed dramatically decreased presentation in Neurologic Emergency Department due to stroke and neurologic disease in 2020 compared to 2019, increased refused hospitalization rate and similar stroke treatment rate despite bigger catchment area. Greater neurologic disease severity with almost 40% increased ventilation time and double mortality rate during the same time was observed. During the outbreak of COVID-19 epidemic, fear of infection had significant impact on neurologic service leading to decreased presentation to NED, resulting in increased stroke or neurologic disease-related morbidity and mortality.
Abstract (croatian)
Sve je više dokaza koji upućuje na to da bolesnici s hitnim medicinskim stanjima izbjegavaju hitnu službu zbog straha od infekcije koronavirusom 2019 (COVID-19), što dovodi do povećanog morbiditeta i smrtnosti od drugih bolesti. Kako bismo analizirali utjecaj straha bolesnika od infekcije COVID-19 na stopu prihvata bolesnika s moždanim udarom i težinu neuroloških bolesti, uspoređivali smo stopu prihvata za moždani udar, broj trombektomija i trombolize i stopu odbijanja hospitalizacije tijekom razdoblja od 1. ožujka. do 30. lipnja 2020. u vremenskom odnosu s rastućim brojem slučajeva COVID-19 u Hrvatskoj. Procijenili smo težinu neuroloških bolesti mjerom vremena mehaničke ventilacije i stopom smrtnosti u istom razdoblju. Usporedili smo podatke s podacima dobivenim iz istog kalendarskog vremenskog razdoblja u 2019. godini. Primijetili smo dramatično smanjenje broja pregleda u Hitnoj neurološkoj ambulanti zbog moždanog udara i neuroloških bolesti 2020. godine u odnosu na 2019. godinu, povećanu stopu odbijene hospitalizacije i sličnu stopu liječenja moždanog udara usprkos većem pripadajućem teritoriju. Uočili smo veću težinu neuroloških bolesnika mjerenu gotovo 40% povećanim vremenom mehaničke ventilacije i udvostručenom stopom smrtnosti u istom vremenskom razdoblju. Tijekom izbijanja epidemije COVID-19, strah od infekcije imao je značajan utjecaj na neurološku službu, što je dovelo do smanjene prezentacije neuroloških bolesnika u neurološkoj hitnoj službi, a rezultiralo je povećanim morbiditetom i smrtnošću zbog moždanog udara ili drugih neuroloških bolesti.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleArchives of Psychiatry Research : An International Journal of Psychiatry and Related Sciences
Numberingvol. 57, no. 2, pp. 167-176
p-ISSN2671-1079
e-ISSN2671-2008
DOIhttps://doi.org/10.20471/dec.2021.57.02.05
URN:NBNurn:nbn:hr:220:063037
Publication2021
Document URLhttps://hrcak.srce.hr/257564
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) icon
Created on2024-08-23 11:31:58