Changes in pediatric emergency department visits during a COVID-19 lockdown period: An exhaustive single-center analysis

Jorna, C. De; Liber, M.; Khalifi, S. El; Neggia, G.; Martinot, A.; Dubos, François

doi:10.1016/j.arcped.2022.08.003

Cited by 5 publications

(3 citation statements)

References 26 publications

(52 reference statements)

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“…Similarly, Noh et al [24] reported that influenza rarely occurred during the spring of 2020. During the COVID-19 period, several studies reported reductions in infectious disease and respiratory disease [1,10,16,18]. This was almost certainly because of enhanced widespread maskwearing, and improved hand hygiene practices [24,25].…”

Section: Discussionmentioning

confidence: 99%

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Changes in epidemiology of patients visiting emergency departments during the early COVID-19 pandemic period

2024

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Infectious disease outbreaks have a great influence on the use of emergency departments (EDs). The purpose of this study was to analyze the effect of the early coronavirus disease outbreak (COVID-19) on ED visits, to be able to more effectively use ED resources during infectious disease outbreaks. This was a retrospective observational study conducted in three tertiary EDs. We defined the COVID-19 period as 01 December 2019, to 30 April 2020, and the control periods were defined as the same period in 2018 and 2019. All patients who visited the EDs during the study period were included. We collected visitor data on the total number, demographics, clinical data, vital signs, acuity level, cause of visit, disposition, time of visit and diagnostic code. A total of 180,192 patients were enrolled in this study. During the COVID-19 period, the number of ED visits decreased significantly. This decline was significant since mid-February when the number of COVID-19 patients surged nationwide. The proportion of critical patients and admission rate increased while the proportion of non-emergency patients decreased significantly from February (p < 0.001). The proportion of night-time ED visits decreased significantly from March. During the COVID-19 period and pre-COVID-19 period, the top three diagnosis areas were “abdominal and pelvis pain” “fever of other and unknown origin” and “open wound in the head” and remained unchanged. “Influenza because of an identified seasonal influenza virus” decreased during the study period. The study showed the number and characteristics of ED visits changed during the COVID-19 period compared with those of pre-COVID-19 periods.

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Section: Discussionmentioning

confidence: 99%

“…These infectious diseases affected emergency room visits [6][7][8][9]. There were several studies that evaluated the pattern of ED visits during the period of COVID-19 outbreak, and these showed various patterns [1,2,[10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Changes in epidemiology of patients visiting emergency departments during the early COVID-19 pandemic period

2024

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“…Some studies found a reduction in mild and severe trauma and fracture rates [18,19], with differences across age groups [20]. However, increases in specific injury patterns [21,22] as well as stable [23,24] and even raised rates of trauma-related visits [25] have also been reported. The effects of the pandemic on mental health emergency visits also appear to be complex, with accumulating evidence of an initial decrease during the first stage of public health response followed by a long-term increasing trend [26][27][28]; however, it is unclear whether these patterns are related to actual changes in pediatric populations' morbidity or simply reflect trends in overall health-care services usage and how they interact with PED attendance for other causes [29].…”

Section: Introductionmentioning

confidence: 99%

Impact of the First Year of the COVID-19 Pandemic on Pediatric Emergency Department Attendance in a Tertiary Center in South Italy: An Interrupted Time-Series Analysis

et al. 2023

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Background: The evidence shows a reduction in pediatric emergency department (PED) flows during the early stages of the COVID-19 pandemic. Using interrupted time-series analysis, we evaluated the impact of different stages of the pandemic response on overall and cause-specific PED attendance at a tertiary hospital in south Italy. Our methods included evaluations of total visits, hospitalizations, accesses for critical illnesses and four etiological categories (transmissible and non-transmissible infectious diseases, trauma and mental-health) during March–December 2020, which were compared with analogous intervals from 2016 to 2019; the pandemic period was divided into three segments: the “first lockdown” (FL, 9 March–3 May), the “post-lockdown” (PL, 4 May–6 November) and the “second lockdown” (SL, 7 November–31 December). Our results showed that attendance dropped by a mean of 50.09% during the pandemic stages, while hospitalizations increased. Critical illnesses decreased during FL (incidence rate ratio -IRR- 0.37, 95% CI 0.13, 0.88) e SL (IRR 0.09, 95% CI 0.01, 0.74) and transmissible disease related visits reduced more markedly and persistently (FL: IRR 0.18, 95% CI 0.14, 0.24; PL: IRR 0.20, 95% CI 0.13, 0.31, SL: IRR 0.17, 95% CI 0.10, 0.29). Non-infectious diseases returned to pre-COVID-19 pandemic levels by PL. We concluded that that the results highlight the specific effect of the late 2020 containment measures on transmissible infectious diseases and their burden on pediatric emergency resources. This evidence can inform resource allocation and interventions to mitigate the impact of infectious diseases on pediatric populations and the health-care system.

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An evaluation of pediatric emergency cases in the first year of the COVID-19 pandemic: A single-centre experience

Yilmaz,

Esenay

2024

Journal of Pediatric Nursing

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Changes in pediatric emergency department visits during a COVID-19 lockdown period: An exhaustive single-center analysis

Cited by 5 publications

References 26 publications

Changes in epidemiology of patients visiting emergency departments during the early COVID-19 pandemic period

Changes in epidemiology of patients visiting emergency departments during the early COVID-19 pandemic period

Impact of the First Year of the COVID-19 Pandemic on Pediatric Emergency Department Attendance in a Tertiary Center in South Italy: An Interrupted Time-Series Analysis

An evaluation of pediatric emergency cases in the first year of the COVID-19 pandemic: A single-centre experience

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