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Status unknownNCT04338672Updated Apr 21, 2020

The Impact of the Covid-19 Outbreak on Emergency Room Attendances of Surgical Patients

An observational study in Emergency Service, Hospital and General Surgery, sponsored by Sheba Medical Center. Status unknown at 1 site in Israel. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-04-21.

Sponsored by Sheba Medical Center · Observational

The sponsor has not verified this record recently (last verified Apr 2020), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
10,000
Ages
18 Years and older
Sex
All
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Study summary

Since December 2019, when the novel coronavirus disease (Covid-19) spread throughout the world, data have been needed on the effects of the pandemic on various aspects of healthcare systems. Recommendations for social distancing and quarantine decrees made by local governments, alongside the general public fear from the spread of the virus, are presumed to have markedly affected the trends in hospitals visits. Understanding the exact nature of the effect is critical for better anticipating and preparing health systems in the event of future outbreaks and in the post outbreak period. Therefore we intend to To identify retrospectively all patients who presented to the emergency department at our medical institute between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020. We will examine the impact of COVID-19 on the rates of surgical emergency visits, ratio of surgical visits to non-surgical visits, the ratio of severe presentations to non-severe presentations, and the impact of age on ED attendance.

Read the detailed description

Since December 2019, when the novel coronavirus disease (Covid-19) spread throughout the world, data have been needed on the effects of the pandemic on various aspects of healthcare systems. Recommendations for social distancing and quarantine decrees made by local governments, alongside the general public fear from the spread of the virus, are presumed to have markedly affected the trends in hospitals visits. Understanding the exact nature of the effect is critical for better anticipating and preparing health systems in the event of future outbreaks and in the post outbreak period. Additionally, deferring hospitals visits can potentially put patients at increased risk for morbidity and mortality, especially in postsurgical patients. Evaluating the impact of the pandemic on patient volume can guide decision-making in future scenarios.

Previous infectious disease outbreaks have been shown to impact ED volumes: The US Hantavirus outbreak in 1993 led to a 2-fold increase in ED visits; Escherichia coli 0157:H7 outbreak in Washington state in 1993 increased ED visits by 17%; However, the 2003 SARS outbreaks in Hong Kong, Taiwan, and Toronto reduced tertiary care ED visits by up to 47 percent.

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Conditions studied

  • Emergency Service, Hospital
  • General Surgery

Keywords

  • Emergency
  • Surgery
  • Covid-19
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In context

COVID-19

7,638 studies on the registry are indexed under COVID-19; 488 are open to participants now.

This study's planned enrollment of 10,000 is above the median of 260 across 3,135 observational studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Sheba Medical Center is the lead sponsor of 660 studies on the registry; 63 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

All patients aged >18 years old who attended the emergency department of Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

Inclusion criteria

  • All patients visiting the ER of Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

Exclusion criteria

Exclusion Criteria:

  • Patients less than 18 years of age
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
10,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Pandemic Period

    Patients who presented to the emergency department at our medical institute Sheba Medical Center between January 1 - March 31 in 2020.

    Other: COVID-19 Pandemic

  • Pre Pandemic Period

    Patients who presented to the emergency department at our medical institute Sheba Medical Center between January 1 - March 31 in the following years: 2017, 2018, 2019,

Interventions

  • OtherCOVID-19 Pandemic

    Exposure: the novel coronavirus disease (Covid-19) outbreak

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What researchers measure

Primary outcomes

  1. Rates of emergency visits needing surgical consult

    Time frame: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

  2. The ratio of severe presentations to non-severe presentations

    Time frame: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

Secondary outcomes

  1. The impact of age on ED attendance rates

    Time frame: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

  2. Differences in ED surgical visits (in terms of capacity and severity) of surgical patients depending on the presentation and the co morbidity

    Time frame: January 1 - March 31 in the following years: 2017, 2018, 2019, 2020

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Heiber M, Lou WY. Effect of the SARS outbreak on visits to a community hospital emergency department. CJEM. 2006 Sep;8(5):323-8. doi: 10.1017/s148180350001397x. PubMed 17338843 ↗
  • Chen WK, Cheng YC, Chung YT, Lin CC. The impact of the SARS outbreak on an urban emergency department in Taiwan. Med Care. 2005 Feb;43(2):168-72. doi: 10.1097/00005650-200502000-00010. PubMed 15655430 ↗
  • Anteby R, Zager Y, Barash Y, Nadler R, Cordoba M, Klang E, Klein Y, Ram E, Gutman M, Horesh N. The Impact of the Coronavirus Disease 2019 Outbreak on the Attendance of Patients with Surgical Complaints at a Tertiary Hospital Emergency Department. J Laparoendosc Adv Surg Tech A. 2020 Sep;30(9):1001-1007. doi: 10.1089/lap.2020.0465. Epub 2020 Jun 23. PubMed 32589496 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 21, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04338672
Lead sponsor
Sheba Medical Center
Responsible party
Sponsor
First posted
Apr 8, 2020
Start date
Apr 5, 2020
Primary completion
Apr 1, 2021 (estimated)
Completion
Apr 1, 2022 (estimated)
Last update
Apr 21, 2020

Study contacts

Roi Anteby, MD
Contact
roi.anteby@sheba.health.gov.il
19293011120

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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