The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States
The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States
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DOI：
10.1016/j.ajem.2020.06.007
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发表时间：
2020-09-01
影响因子：
3.6
通讯作者：
Elkbuli, Adel
中科院分区：
文献类型：
--
作者：
Boserup, Brad;McKenney, Mark;Elkbuli, Adel
背景：COVID-19大流行的影响仍在阐明中。居家令及社交距离，加上对COVID-19的担忧，对日常生活造成重大干扰。这些变量的一个显著影响可能是急诊科（艾德）就诊次数的变化。本研究旨在调查COVID-19对艾德就诊的影响，以及变化的可能原因。方法：使用CDC数据对艾德就诊和COVID-19样疾病（CLI）和流感样疾病（ILI）的就诊百分比进行回顾性分析。谷歌趋势被用来评估COVID-19公众意识。机动车碰撞（MVC）数据是从报告当前数据的城市收集的。对艾德就诊数据进行了描述性统计分析和双样本t检验，以评估显著性，并进行了描述性分析，以评估COVID-19对MVC.Results的影响：在大流行期间最后四周的可用数据中，每周平均艾德就诊次数显著少于COVID-19大流行前四周（p = 0.008）。每周艾德访视减少因地区而异，地区1的减少幅度最大（45%）。MVCs大幅下降，在所有城市的研究，与纽约市和巴吞鲁日经历了最大的下降（66%）在大流行。结论：一些因素可能导致了本研究中观察到的艾德访问大幅下降。鉴于这些发现，重要的是要提高患者对比COVID-19更致命的急性疾病的认识，并需要立即进行医疗干预以确保康复。(c)2020爱思唯尔公司All rights reserved.
Background: COVID-19 pandemic effects are still being elucidated. Stay-at-home orders and social distancing compounded with COVID-19 concerns have caused significant disruptions in daily life. One notable effect of these variables may be a change in the number of emergency department (ED) visits. This study aims to investigate the effects of COVID-19 on ED visits, and possible reasons for changes.Methods: Retrospective analysis using CDC data for ED visits and percentage of visits for COVID-19-Like Illness (CLI) and Influenza-Like Illness (ILI). Google Trends was used to assess COVID-19 public awareness. Motor vehicle collision (MVC) data was collected from cities, which reported current data. A descriptive statistical analysis and two-sample t-test was performed on ED visit data to assess for significance and a descriptive analysis was conducted to assess COVID-19's impact on MVCs.Results: Themean number of ED visits per week for the last four weeks of available data during the pandemic was significantly less than the four weeks prior to COVID-19 pandemic (p = 0.008). The ED visit decrease per week varied by region, with Region 1 having the greatest decrease (45%). MVCs decreased substantially across all cities studied, with New York City and Baton Rouge experiencing the greatest decrease (66%) during the pandemic.Conclusion: A number of factors have likely contributed to the substantial decrease in ED visits observed in this study. In light of these findings, it is important to raise patient awareness regarding acute conditions that are deadlier than COVID-19 and require immediate medical intervention to ensure recovery. (c) 2020 Elsevier Inc. All rights reserved.