Trends of Emergency Calls During the Coronavirus Disease-19 Pandemic in Nur-Sultan

Authors

  • Akerke Chayakova Department of Scientific-research Activity, NpJSC “Astana Medical University”, Astana, Kazakhstan https://orcid.org/0000-0002-8398-3684
  • Marjan Dauletyarova Department of Scientific-research Activity
  • Daulet Aldyngurov Department of Scientific-research Activity
  • Aiman Mussina Department of Scientific-research Activity
  • Roza Suleimenova Department of Scientific-research Activity
  • Aigul Utegenova Department of Scientific-research Activity, NpJSC “Astana Medical University”, Astana, Kazakhstan
  • Murat Orazbayev Department of Quality Control of Medical Services, “City Ambulance Station”, Nur-Sultan, Kazakhstan
  • Gulnara Tuyakova Department of Quality Control of Medical Services, “City Ambulance Station”, Nur-Sultan, Kazakhstan

DOI:

https://doi.org/10.3889/oamjms.2021.6629

Keywords:

Emergency medical service, Emergency calls, Pandemic, COVID-19

Abstract

BACKGROUND: The new coronavirus infection (coronavirus disease [COVID]-19) has become a serious obstacle on the health-care systems in Kazakhstan, as well as throughout the world. Certainly, the extent of emergency medical services (EMSs) use at some stage within the COVID-19 pandemic has been increased. However, the impact on the use of EMS in Kazakhstan during the COVID-19 pandemic has not been studied.

AIM: The aim of this study was to analyze the dynamics of changes in the number of emergency medical calls during the COVID-19 pandemic, depending on the time of year, day of the week, and the causes for the calls.

METHODS: This study retrospectively evaluated the Nur-Sultan (capital of Kazakhstan) EMS data for the period after the pandemic was first seen in Kazakhstan. The necessary permissions for the study were obtained from the Nur-Sultan City Public Health Department. EMS data for the same time interval (February 1–May 1) in the past 3 years (2018, 2019, and 2020) were compared. The data were taken from the database of the automated control system “Komek 103,” which is used in the ambulance station since the end of 2019, and the automated dispatch information systems “ADIS” used by the ambulance station in Nur-Sultan.

RESULTS: During the COVID-19 pandemic, EMS call rates had been maximum common on Mondays and Thursdays by 13, 75%. The evaluation suggests that the quantity of male sufferers extended by 14, 05% in the course of the pandemic length, as compared to the pre-pandemic length. The quantity of patients with inside the 65+ age group in the course of the pandemic length has extended by 31.5%. During the pandemic, the signs and symptoms of fever enlarged significantly by 83%. Moreover, suicides elevated by 61% during the pandemic period. During the COVID‐19 pandemic, using EMS particularly for time touchy illnesses, which include hypertension (−31%), surgical emergencies (acute abdomen) (−40%), cerebrovascular illnesses (−11%), and other heart illnesses (−29%) decreased.

CONCLUSIONS: During the pandemic period, there was an increase in the calls from male patients, compared to the pre-pandemic period. Moreover, during the COVID-19 pandemic, EMS call rates had been increased on Mondays and Thursdays. We found an alteration with inside the sample of obtained calls. Furthermore, the quantity of patients with inside the 65+ age group in the course of the pandemic length has extended.

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References

World Health Organization. 2019-nCoV. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019. [Last accessed 2020 Apr 25].

World Health Organization. News on Disease Outbreaks. Available from: https://www.who.int/csr/don/en. [Last accessed on 2020 Apr 25].

World Health Organization. Reports on the Current Situation. Available form: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports. [Last accessed on 2020 Apr 25].

Roudsari BS, Nathens AB, Arreola‐Risa C, Cameron P, Civil I, Grigoriou G, et al. Emergency medical service (EMS) systems in developed and developing countries. Injury. 2007;38(9):1001-13. PMid:17583709 DOI: https://doi.org/10.1016/j.injury.2007.04.008

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497-506. https://doi.org/10.1016/S0140-6736(20)30183-5 DOI: https://doi.org/10.1016/S0140-6736(20)30183-5

Tu H, Tu S, Gao S, Shao A, Sheng J. Current epidemiological and clinical features of COVID-19; a global perspective from China. J Infect. 2020;81(1):1-9. https://doi.org/10.1016/j.jinf.2020.04.011 PMid:32315723 DOI: https://doi.org/10.1016/j.jinf.2020.04.011

Resolution of the Chief State Sanitary Doctor of December 25, 2020 No. 68 On Restrictive Quarantine Measures and Their Gradual Mitigation. Available from: https://www.online.zakon.kz/Document/?doc_id=35809683. [Last accessed on 2021 May 15].

Gebhard C, Regitz-Zagrosek V, Neuhauser HK, Morgan R, Klein SL. Impact of sex and gender on COVID-19 outcomes in Europe. Biol Sex Differ. 2020;11(1):29. https://doi.org/10.1186/ s13293-020-00304-9 PMid:32450906 DOI: https://doi.org/10.1186/s13293-020-00304-9

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9. https://doi.org/10.1001/jama.2020.1585 PMid:32031570 DOI: https://doi.org/10.1001/jama.2020.1585

World Health Organization. The Top 10 Causes of Death. Available from: http://www.who.int/mediacentre/factsheets/fs310/en. [Last accessed on 2020 Apr 25].

Ministry of Health of the Republic of Kazakhstan. Health of the Population of the Republic of Kazakhstan and the Activities of Health Organizations. Statistical Collection. Kazakhstan: Ministry of Health of the Republic of Kazakhstan; 2019.

Guo T, Fan Y, Chen M, Wu X, Zhang L, He T, et al. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19). JAMA Cardiol. 2020;5(7):811-8. https://doi.org/10.1001/jamacardio.2020.1017 PMid:32219356 DOI: https://doi.org/10.1001/jamacardio.2020.1017

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Published

2021-07-23

How to Cite

1.
Chayakova A, Dauletyarova M, Aldyngurov D, Mussina A, Suleimenova R, Utegenova A, Orazbayev M, Tuyakova G. Trends of Emergency Calls During the Coronavirus Disease-19 Pandemic in Nur-Sultan. Open Access Maced J Med Sci [Internet]. 2021 Jul. 23 [cited 2024 Nov. 12];9(E):665-9. Available from: https://oamjms.eu/index.php/mjms/article/view/6629

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Public Health Disease Control

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