Characterizing pediatric emergency department visits during the COVID-19 pandemic.
Characterizing pediatric emergency department visits during the COVID-19 pandemic.
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DOI：
10.1016/j.ajem.2020.11.037
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
US Acute Care Solutions Research Group
中科院分区：
文献类型：
--
作者：
Pines JM;Zocchi MS;Black BS;Carlson JN;Celedon P;Moghtaderi A;Venkat A;US Acute Care Solutions Research Group
我们通过大量美国 ED 样本确定儿科急诊 (ED) 就诊情况在 COVID-19 大流行期间的变化。使用 2020 年 1 月至 6 月的回顾性数据，与 2019 年类似时期相比，我们按年龄范围计算了 2020 年至 2019 年每周成人和儿童（18 岁或以下）非 COVID-19 急诊就诊的比率。结果是大流行爆发前后的儿科急诊就诊率，按年龄、性格和诊断分类。我们纳入了美国 18 个州 144 个急诊室和 4 个紧急护理中心的 2,213,828 次就诊数据，其中包括儿童医院的 7 个急诊室。在大流行期间，成人非 COVID-19 就诊量下降至 2019 年的 60%，随后部分恢复，但到 2020 年 6 月仍低于 2019 年的水平。儿科就诊量下降幅度更大，截至 4 月 15 日这一周，下降峰值为 10 岁以下儿童下降 74%，14-17 岁儿童下降 67%。到 6 月，14 至 17 岁儿童的访问量恢复到 72%，但 10 岁以下儿童的访问量仅恢复到 2019 年水平的 50%。所有急诊室类型和地点以及所有诊断均出现下降，其中非 COVID-19 传染病的下降尤其急剧。在大流行期间，包括阑尾炎在内的常见严重儿科疾病下降了 22%。在 COVID-19 大流行期间，儿童急诊就诊人数比成人急诊就诊人数下降幅度更大，并且到 2020 年 6 月仍然低迷，尤其是对于年幼的儿童。严重疾病的发病率也有所下降，这表明父母可能避免了对孩子的必要护理。
We determine how pediatric emergency department (ED) visits changed during the COVID-19 pandemic in a large sample of U.S. EDs. Using retrospective data from January–June 2020, compared to a similar 2019 period, we calculated weekly 2020–2019 ratios of Non-COVID-19 ED visits for adults and children (age 18 years or less) by age range. Outcomes were pediatric ED visit rates before and after the onset of pandemic, by age, disposition, and diagnosis. We included data from 2,213,828 visits to 144 EDs and 4 urgent care centers in 18 U.S. states, including 7 EDs in children's hospitals. During the pandemic period, adult non-COVID-19 visits declined to 60% of 2019 volumes and then partially recovered but remained below 2019 levels through June 2020. Pediatric visits declined even more sharply, with peak declines through the week of April 15 of 74% for children age < 10 years and 67% for 14–17 year. Visits recovered by June to 72% for children age 14–17, but to only 50% of 2019 levels for children < age 10 years. Declines were seen across all ED types and locations, and across all diagnoses, with an especially sharp decline in non-COVID-19 communicable diseases. During the pandemic period, there was 22% decline in common serious pediatric conditions, including appendicitis. Pediatric ED visits fell more sharply than adult ED visits during the COVID-19 pandemic, and remained depressed through June 2020, especially for younger children. Declines were also seen for serious conditions, suggesting that parents may have avoided necessary care for their children.
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影响因子：
5.1
作者：
Michelson, Kenneth A.;Bachur, Richard G.;Finkelstein, Jonathan A.
通讯作者：
Finkelstein, Jonathan A.
影响因子：
1.4
作者：
Rasooly, Irit R.;Mullins, Peter M.;Pines, Jesse M.
通讯作者：
Pines, Jesse M.
提供者和实践因素与紧急医生在渎职索赔中命名。
影响因子：
6.2
作者：
Carlson JN;Foster KM;Pines JM;Corbit CK;Ward MJ;Hydari MZ;Venkat A
通讯作者：
Venkat A
影响因子：
33.9
作者：
Hartnett, Kathleen P.;Kite-Powell, Aaron;Gundlapalli, Adi, V
通讯作者：
Gundlapalli, Adi, V