CUPID COVID-19: emergency department attendance by paediatric patients during COVID-19 - project protocol.
CUPID COVID-19: emergency department attendance by paediatric patients during COVID-19 - project protocol.
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DOI：
10.12688/hrbopenres.13066.1
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发表时间：
2020-01-01
影响因子：
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通讯作者：
Nicholson, Emma
中科院分区：
文献类型：
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作者：
McDonnell, Therese;McAuliffe, Eilish;Nicholson, Emma
背景：为延缓新冠肺炎传播而采取的措施可能会使非冠状病毒相关疾病避免到急诊室就诊。临床医生和医疗代表机构，如爱尔兰急诊医学会(IAEM)表示，担心一些患者可能没有寻求及时的紧急医疗干预。来自以往疫情的证据发现，在MERS和SARS爆发期间避开医院是很常见的。虽然SARS和MERS后急诊室就诊情况恢复正常，但两次疫情都持续了2-3个月。由于新冠肺炎疫情预计将持续到2021年，随着疫情的演变，人们对新冠肺炎将对急诊科儿科就诊产生的影响知之甚少。目标：该项目旨在评估新冠肺炎对儿科急救医疗利用的影响，了解由于疫情的流行，父母的求医行为可能发生了什么变化，并确定如何消除获得医疗保健的任何障碍。方法：将分析爱尔兰各地5家急诊室和1家紧急护理中心的行政数据记录，以确定紧急医疗保健就诊人数的变化。定性调查将被用来记录工作人员在新冠肺炎期间为儿科患者提供紧急医疗保健的经验，他们对确定的趋势的反馈将为解释调查结果提供依据。一项针对父母的横断面调查将记录在疫情期间为子女获得医疗保健的经验、关切和决策。结果与结论：这些信息将帮助决策者随着疫情的发展迅速做出反应，满足儿科患者的临床需求，并减少在新冠肺炎发病期间对正常儿科急诊服务的干扰。由于儿童的健康恶化速度可能比成年人更快，因此在寻求对危重儿童的护理方面的任何延误都可能产生严重的后果。
Background: Measures introduced to delay the spread of COVID-19 may result in avoidance of emergency departments (EDs) for non-COVID related illness. Clinicians and medical representative bodies such as the Irish Association for Emergency Medicine (IAEM) have expressed concern that some patients may not seek timely urgent medical intervention. Evidence from previous epidemics found that hospital avoidance during outbreaks of MERS and SARS was common. While ED attendance returned to normal following SARS and MERS, both outbreaks lasted 2-3 months. As the COVID-19 pandemic is forecast to extend into 2021, little is known about the impact COVID-19 will have on paediatric attendance at EDs as the pandemic evolves. Aims: This project aims to assess the impact of COVID-19 on paediatric emergency healthcare utilisation, to understand how the health seeking behaviour of parents may have altered due to the pandemic, and to identify how any barriers to accessing care can be removed. Methods: Administrative data records from five EDs across Ireland and one Urgent Care Centre will be analysed to identify changes in attendances at emergency healthcare. Qualitative inquiry will be utilised to capture the experience of staff providing emergency healthcare to paediatric patients during COVID-19, and their feedback on identified trends will inform the interpretation of findings. A cross-sectional survey of parents will capture experiences, concerns and decision-making on accessing healthcare for their children during the pandemic. Results and Conclusion: This information will help decision makers respond rapidly to meet the clinical needs of paediatric patients as the circumstances of the pandemic unfold and reduce the disruption to normal paediatric ED services during the onset of COVID-19. As the health of a child can deteriorate more rapidly than that of an adult, any delay in seeking care for an acutely ill child may have serious consequences.