Pediatric emergency department utilization during the COVID-19 pandemic in New York City

Autor: Kimberly A. Giusto, Cole Murphy-Hockett, Kristy A. Williamson, William C. Sokoloff, William Krief, Joshua Rocker, Tasnima Mohaimin
Rok vydání: 2021
Předmět:
Male
MERS
Middle East Respiratory Syndrome
Acuity
Chest pain
0302 clinical medicine
SARS
Severe Acute Respiratory Syndrome
Pandemic
Child
Suicidal ideation
EMS
Emergency Medical Services
Incidence
Incidence (epidemiology)
General Medicine
CCSR
Clinical Classification Software Refined
Emergency Severity Index
Suicide
Child
Preschool
LOS
Length of Stay
Emergency Medicine
Female
medicine.symptom
Emergency Service
Hospital
NYC
New York City
medicine.medical_specialty
Adolescent
NY
New York
Abuse
Article
PICU
Pediatric Intensive Care Unit
03 medical and health sciences
ICU
Intensive Care Unit
medicine
Humans
Pandemics
Retrospective Studies
ICD-10-CM
International Classification of Diseases 10th Revision
Clinical Modification
Suicide attempt
SARS-CoV-2
Volume
business.industry
ED
Emergency Department
COVID-19
Infant
030208 emergency & critical care medicine
Behavioral health
Patient Acuity
Triage
Coronavirus
Emergency medicine
ESI
Emergency Severity Index
New York City
business
Zdroj: The American Journal of Emergency Medicine
ISSN: 0735-6757
DOI: 10.1016/j.ajem.2021.02.029
Popis: OBJECTIVES: This study describes the utilization of a pediatric emergency department (ED) during the early months of the COVID-19 pandemic in the initial U.S. epicenter, including the impact on visit acuity and incidences of common diagnoses. STUDY DESIGN: We performed an observational retrospective review of patients younger than 18 years old seen in a New York City pediatric ED from March 7th to May 6th 2020, and during the same time period in 2018 and 2019. Demographics, visit details, diagnoses, and dispositions were compared. Validated algorithms were utilized to create practical diagnosis groupings and to determine the probability of a visit requiring emergent evaluation. RESULTS: ED visits during the pandemic decreased by 56% to an average daily census of 67 patients, from an anticipated 152. Admission rates rose from 13.3% to 17.4% (p
Databáze: OpenAIRE
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