Effect of the COVID-19 Pandemic on Patient Volumes, Acuity, and Outcomes in Pediatric Emergency Departments: A Nationwide Study
| Autor: | Finkelstein, Yaron, Maguire, Bryan, Zemek, Roger, Osmanlliu, Esli, Kam, April J., Dixon, Andrew, Desai, Neil, Sawyer, Scott, Jardine, Jason, Breakey, Vicky R., Brossard, Josee, Sinha, Roona, Silva, Mariana, Goodyear, Lisa, Lipton, Jeffrey H., Michon, Bruno, Corriveau-Bourque, Catherine, Sung, Lillian, Shabanova, Iren, Li, Hongbing, Zlateska, Bozana, Dhanraj, Santhosh, Cada, Michaela, Scherer, Stephen W., Dror, Yigal |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Canada medicine.medical_specialty pandemics law.invention law Acute care Humans Medicine hospital Child emergency services Retrospective Studies SARS-CoV-2 business.industry Public health public health COVID-19 General Medicine Odds ratio Special Features Mental health Triage Intensive care unit Confidence interval Child Preschool Pediatrics Perinatology and Child Health Emergency medicine ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Emergency Medicine Female Observational study Emergency Service Hospital business triage hospitalization |
| Zdroj: | Paediatrics Publications Pediatric Emergency Care |
| Popis: | Supplemental digital content is available in the text. Objectives The aim of this study was to quantify the effect of the COVID-19 pandemic on pediatric emergency department (ED) utilization and outcomes. Methods This study is an interrupted-time-series observational study of children presenting to 11 Canadian tertiary-care pediatric EDs. Data were grouped into weeks in 3 study periods: prepandemic (January 1, 2018–January 27, 2020), peripandemic (January 28, 2020–March 10, 2020), and early pandemic (March 11, 2020–April 30, 2020). These periods were compared with the same time intervals in the 2 preceding calendar years. Primary outcomes were number of ED visits per week. The secondary outcomes were triage acuity, hospitalization, intensive care unit (ICU) admission, mortality, length of hospital stay, ED revisits, and visits for trauma and mental health concerns. Results There were 577,807 ED visits (median age, 4.5 years; 52.9% male). Relative to the prepandemic period, there was a reduction [−58%; 95% confidence interval (CI), −63% to −51%] in the number of ED visits during the early-pandemic period, with concomitant higher acuity. There was a concurrent increase in the proportion of ward [odds ratio (OR), 1.39; 95% CI, 1.32–1.45] and intensive care unit (OR, 1.20; 95% CI, 1.01–1.42) admissions, and trauma-related ED visits among children less than 10 years (OR, 1.51; 95% CI, 1.45–1.56). Mental health–related visits in children declined in the early-pandemic period (in |
| Databáze: | OpenAIRE |
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