Evidence map›Paper›PMID 35676714›Full record

SynthesisGlobalization and health2022

Global burden of the COVID-19 associated patient-related delay in emergency healthcare: a panel of systematic review and meta-analyses.

Vahid Mogharab, Mahshid Ostovar, Jakub Ruszkowski, Syed Zohaib Maroof Hussain, Rajeev Shrestha, Uzair Yaqoob, Poorya Aryanpoor, Amir Mohammad Nikkhoo, Parasta Heidari, Athar Rasekh Jahromi and 27 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Globalization and health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors at 17 institutions in 8 countries.

Vahid MogharabDepartment of Pediatrics, Jahrom University of Medical Sciences, Jahrom, Iran.
Mahshid OstovarResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Jakub RuszkowskiDepartment of Nephrology, Transplantology and Internal Medicine, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Syed Zohaib Maroof HussainST1/Clinical Teaching Fellow, Norfolk and Norwich University Hospital, Norwich, United Kingdom.
Rajeev ShresthaPalliative Care and Chronic Disease Unit, Green Pasteur Hospital, Pokhara, Nepal.
Uzair YaqoobPostgraduate trainee, Surgical Department, Hamdard University Hospital Karachi, Karachi, Pakistan.
Poorya AryanpoorResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Amir Mohammad NikkhooResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Parasta HeidariResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Athar Rasekh JahromiResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Esmaeil RayatdoostResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Anwar AliDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China.
Farshid JavdaniResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Roohie FarzanehDepartment of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Aref GhanaatpishehResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Seyed Reza HabibzadehDepartment of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mahdi ForoughianDepartment of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Sayyed Reza AhmadiDepartment of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Reza AkhavanDepartment of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Bita AbbasiDepartment of Radiology, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.
Behzad ShahiDepartment of Emergency Medicine, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.
Arman HakemiDepartment of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Ehsan BolvardiDepartment of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Farhad BagherianDepartment of Emergency Medicine, Babol University of Medical Sciences, Babol, Iran.
Mahsa MotamedDepartment of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran.
Sina Taherzadeh BoroujeniDepartment of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran.
Sheida JamalniaMedical Journalism Department, Shiraz University of Medical Sciences, Shiraz, Iran.
Amir MangouriFellowship of Vascular Surgery and Endovascular Therapy, Division of Vascular Surgery and Endovascular Therapy, Department of General Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Maryam PaydarResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.
Neda MehrasaShiraz Azad University, Dental Branch, Shiraz, Iran.
Dorna ShiraliShiraz Azad University, Dental Branch, Shiraz, Iran.
Francesco SanmarchiDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
Ayesha SaeedDepartment of Biochemistry, Government College University, Faisalabad, Pakistan.
Narges Azari JafariNeuroscience Research Department Center, Kashan University of Medical Science, Kashan, Iran.
Ali BabouPharmaceutical Sciences Department, College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates.
Navid KalaniResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran. navidkalani@ymail.com.
Naser HatamiResearch Center for Non-Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran. Naserohatami@gmail.com.
Jahrom University of Medical Sciences · IRMashhad University of Medical Sciences · IRTehran University of Medical Sciences · IRIslamic Azad University of Shiraz · IRBabol University of Medical Sciences · IRCentral South University · CNGdańsk Medical University · PLGovernment College University, Faisalabad · PKGreen Pastures Hospital and Rehabilitation Centre · NPGulf Medical University · AEHamdard University · PKJahrom University · IRKashan University of Medical Sciences · IRNorfolk and Norwich University Hospital · GBShiraz University of Medical Sciences · IRUniversity of Bologna · ITZahedan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApart from infecting a large number of people around the world and causing the death of many people, the COVID-19 pandemic seems to have changed the healthcare processes of other diseases by changing the allocation of health resources and changing people's access or intention to healthcare systems.

objectiveTo compare the incidence of endpoints marking delayed healthcare seeking in medical emergencies, before and during the pandemic.

methodsBased on a PICO model, medical emergency conditions that need timely intervention was selected to be evaluated as separate panels. In a systematic literature review, PubMed was quarried for each panel for studies comparing the incidence of various medical emergencies before and during the COVID-19 pandemic. Markers of failure/disruption of treatment due to delayed referral were included in the meta-analysis for each panel.

resultThere was a statistically significant increased pooled median time of symptom onset to admission of the acute coronary syndrome (ACS) patients; an increased rate of vasospasm of aneurismal subarachnoid hemorrhage; and perforation rate in acute appendicitis; diabetic ketoacidosis presentation rate among Type 1 Diabetes Mellitus patients; and rate of orchiectomy among testicular torsion patients in comparison of pre-COVID-19 with COVID-19 cohorts; while there were no significant changes in the event rate of ruptured ectopic pregnancy and median time of symptom onset to admission in the cerebrovascular accident (CVA) patients.

conclusionsCOVID-19 has largely disrupted the referral of patients for emergency medical care and patient-related delayed care should be addressed as a major health threat.

Indexed as

COVID-19Delivery of Health CareEmergenciesHumansPandemicsRetrospective StudiesSARS-CoV-2COVID-19Emergency departmentPandemicSARS-COV-2

Identifiers

PMID35676714
PMCPMC9175527
OpenAlexW4282927630

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.