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  1. Article ; Online: Injury-Related Emergency Department Visits After Hurricane Maria in a Southern Puerto Rico Hospital.

    Frasqueri-Quintana, Verónica M / Oliveras García, Carene A / Adams, Laura E / Torres-Figueroa, Xiomara / Iriarte, Rafael Iván / Ryff, Kyle / Sánchez-González, Liliana / Pérez Gómez, Vivian / Pérez-Rodríguez, Nicole M / Alvarado, Luisa I / Paz-Bailey, Gabriela

    Disaster medicine and public health preparedness

    2019  Volume 14, Issue 1, Page(s) 63–70

    Abstract: Objective: The aim of this study was to describe individuals seeking care for injury at a major emergency department (ED) in southern Puerto Rico in the months after Hurricane Maria on September 20, 2017.: Methods: After informed consent, we used a ... ...

    Abstract Objective: The aim of this study was to describe individuals seeking care for injury at a major emergency department (ED) in southern Puerto Rico in the months after Hurricane Maria on September 20, 2017.
    Methods: After informed consent, we used a modified version of the Natural Disaster Morbidity Surveillance Form to determine why patients were visiting the ED during October 16, 2017-March 28, 2018. We analyzed visits where injury was reported as the primary reason for visit and whether it was hurricane-related.
    Results: Among 5 116 patients, 573 (11%) reported injury as the primary reason for a visit. Of these, 10% were hurricane-related visits. The most common types of injuries were abrasions, lacerations, and cuts (43% of all injury visits and 50% of hurricane-related visits). The most common mechanisms of injury were falls, slips, trips (268, 47%), and being hit by/or against an object (88, 15%). Most injury visits occurred during the first 3 months after the hurricane.
    Conclusions: Surveillance after Hurricane Maria identified injury as the reason for a visit for about 1 in 10 patients visiting the ED, providing evidence on the patterns of injuries in the months following a hurricane. Public health and emergency providers can use this information to anticipate health care needs after a disaster.
    MeSH term(s) Adolescent ; Adult ; Aged ; Chi-Square Distribution ; Child ; Child, Preschool ; Cross-Sectional Studies ; Cyclonic Storms/statistics & numerical data ; Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/statistics & numerical data ; Female ; Hospitals/statistics & numerical data ; Humans ; Male ; Middle Aged ; Patient Acceptance of Health Care/statistics & numerical data ; Population Surveillance/methods ; Puerto Rico/epidemiology ; Wounds and Injuries/epidemiology
    Language English
    Publishing date 2019-08-24
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1017/dmp.2019.75
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Characteristics and clinical outcomes of patients hospitalized with laboratory-confirmed COVID-19-Puerto Rico, March-August 2020.

    Volkman, Hannah R / Pérez-Padilla, Janice / Wong, Joshua M / Sánchez-González, Liliana / Acevedo-Molina, Lauren / Lugo-Menéndez, Martin / Oliveras García, Carene A / Adams, Laura E / Frasqueri-Quintana, Verónica M / Rodriguez-Gonzalez, Robert / González-Cosme, Javier A / Calvo Díaz, Andrés E / Alvarado, Luisa I / Rivera-Amill, Vanessa / Brown, Jessica / Wong, Karen K / Bertrán-Pasarell, Jorge / Paz-Bailey, Gabriela

    PloS one

    2021  Volume 16, Issue 12, Page(s) e0260599

    Abstract: Hispanics are the majority ethnic population in Puerto Rico where we reviewed charts of 109 hospitalized COVID-19 patients to better understand demographic and clinical characteristics of COVID-19 and determine risk factors for poor outcomes. Eligible ... ...

    Abstract Hispanics are the majority ethnic population in Puerto Rico where we reviewed charts of 109 hospitalized COVID-19 patients to better understand demographic and clinical characteristics of COVID-19 and determine risk factors for poor outcomes. Eligible medical records of hospitalized patients with confirmed COVID-19 illnesses were reviewed at four participating hospitals in population centers across Puerto Rico and data were abstracted that described the clinical course, interventions, and outcomes. We found hospitalized patients had a median of 3 underlying conditions with obesity and diabetes as the most frequently reported conditions. Intensive care unit (ICU) admission occurred among 28% of patients and 18% of patients died during the hospitalization. Patients 65 or older or with immune deficiencies had a higher risk for death. Common symptoms included cough, dyspnea, and fatigue; less than half of patients in the study reported fever which was less frequent than reported elsewhere in the literature. It is important for interventions within Hispanic communities to protect high-risk groups.
    MeSH term(s) Adolescent ; Adult ; Age Factors ; Aged ; COVID-19/mortality ; COVID-19/pathology ; Hospitalization/statistics & numerical data ; Humans ; Male ; Middle Aged ; Puerto Rico/epidemiology ; Sex Factors ; Treatment Outcome ; Young Adult
    Language English
    Publishing date 2021-12-02
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0260599
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evaluation of Emergency Department-Based Surveillance Systems at 2 Healthcare Facilities After Hurricane Maria: Puerto Rico, 2017-2018.

    Adams, Laura E / Vargas, Luzeida / Frasqueri-Quintana, Veronica M / Torres-Figueroa, Xiomara / Ryff, Kyle / Sanchez-Gonzalez, Liliana / Little, Emma / Ciampaglio, Kaitlyn / Reyes Claudio, Julio M / Ponton-Cruz, Elyonel / Santiago, William / Paz-Bailey, Gabriela / Alvarado, Luisa I

    Disaster medicine and public health preparedness

    2019  Volume 17, Page(s) e1

    Abstract: Objectives: Hurricane Maria caused catastrophic damage in Puerto Rico, increasing the risk for morbidity and mortality in the post-impact period. We aimed to establish a syndromic surveillance system to describe the number and type of visits at 2 ... ...

    Abstract Objectives: Hurricane Maria caused catastrophic damage in Puerto Rico, increasing the risk for morbidity and mortality in the post-impact period. We aimed to establish a syndromic surveillance system to describe the number and type of visits at 2 emergency health-care settings in the same hospital system in Ponce, Puerto Rico.
    Methods: We implemented a hurricane surveillance system by interviewing patients with a short questionnaire about the reason for visit at a hospital emergency department and associated urgent care clinic in the 6 mo after Hurricane Maria. We then evaluated the system by comparing findings with data from the electronic medical record (EMR) system for the same time period.
    Results: The hurricane surveillance system captured information from 5116 participants across the 2 sites, representing 17% of all visits captured in the EMR for the same period. Most visits were associated with acute illness/symptoms (79%), followed by injury (11%). The hurricane surveillance and EMR data were similar, proportionally, by sex, age, and visit category.
    Conclusions: The hurricane surveillance system provided timely and representative data about the number and type of visits at 2 sites. This system, or an adapted version using available electronic data, should be considered in future disaster settings.
    Language English
    Publishing date 2019-09-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2375268-3
    ISSN 1938-744X ; 1935-7893
    ISSN (online) 1938-744X
    ISSN 1935-7893
    DOI 10.1017/dmp.2019.79
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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