COVID-19 Impact on the Lombardy Region's Emergency System

Tsunami Project - Description and Prediction of COVID-19 Impact on the Lombardy Region's Emergency System

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04669925

Enrollment

10000

Registered

2020-12-17

Start date

2020-09-01

Completion date

2022-01-15

Last updated

2022-06-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Covid19

Keywords

Emergency Department, Emergency Medical Services

Brief summary

This study has 3 main goals: * to quantitavely describe the Covid-19 impact on the organization and functioning of the Lombardy's emergency system; * to create statistical model able to predict the flow of patients to the emergency room during the epidemic period and their destination (ex: discharge, hospitalization, death); * to value the impact on the non Covid-19 patients, both for their possibility to receive medical treatment and as an outcome on their health

Detailed description

The aim of this study is to evaluate the impact that Covid-19 had on the Emergency System of Lombardy. For instance, it affected the job organization and the possibility of responding to general health needs. First of all, the study will consider the calls to the Emergency Medical Service, the number of accesses to the Emergency Department, the waiting time before hospitalization, the ED output home (discharge, hospitalization, death, self-discharge before the end of the visit). Secondly, a statistical model will be implemented, in order to predict the number of patients in need of hospitalization for each day during the pandemic period. This model could help the re-organization of the hospital itself in case of a new Covid-19 outbreak. Finally, it will evaluate the impact on non-Covid patients, to see the difference in the mortality trends and their possiblity to be cured in a proper way.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* over 18y

Exclusion criteria

* none

Design outcomes

Primary

Measure	Time frame	Description
Daily calls to the Emergency System	jan 2020 - dec 2020	The number of calls to the Lombardy Emergency System will be evaluated daily during the study period
Daily count of Emergency Department visits	jan 2020 - dec 2020	The number of people accessing to each ED will be evaluated daily
Daily average boarding time	jan 2020 - dec 2020	The average time between the end of the ED visit and the hospital admission will be measured daily
Outcome at ED discharge	jan 2020 - dec 2020	Distribution of the ED outcome (home discharge, hospitalization, death, self-discharge before the end of the visit)
Mortality	jan 2020 - dec 2020	Daily mortality for any cause

Countries

Italy

Outcome results