Assessing the Impact of COVID-19 Public Health Stages on Paediatric Emergency Attendance.
Assessing the Impact of COVID-19 Public Health Stages on Paediatric Emergency Attendance.
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DOI：
10.3390/ijerph17186719
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发表时间：
2020-09-15
影响因子：
--
通讯作者：
McAuliffe E
中科院分区：
文献类型：
--
作者：
McDonnell T;Nicholson E;Conlon C;Barrett M;Cummins F;Hensey C;McAuliffe E
本研究概述了COVID-19对儿科急诊科（艾德）利用率的影响，并评估了公共卫生应对策略每个阶段的医疗回避程度。分析来自爱尔兰五家急诊室和一家紧急护理中心的记录（约占全国公共儿科艾德年度就诊人数的48%），以确定爱尔兰首次报告COVID-19病例后三个月内就诊特征的变化，并参考特定的国家公共卫生阶段。在延迟阶段，所有诊断类别的艾德就诊率下降了27-62%，并且随着该国开始重新开放的第一阶段，其发病率比率（IRR）为0.58，仍显著低于前一年的水平。减少的主要原因是，公共卫生应对措施改变了生活条件，导致受伤和病毒/病毒引起的疾病就诊人数减少。然而，复杂慢性病患者的就诊人数亦有所减少，且于重开后仍未恢复至新冠肺炎前的水平。全科医生（GP）介绍的就诊率在延迟阶段下降了13个百分点，并保持在这一水平。虽然生活条件的变化在很大程度上解释了总体就诊率和全科医生转诊率下降的原因，但复杂慢性病的就诊率下降可能表明存在回避行为，因此有必要继续进行监测。
This study outlines the impact of COVID-19 on paediatric emergency department (ED) utilisation and assesses the extent of healthcare avoidance during each stage of the public health response strategy. Records from five EDs and one urgent care centre in Ireland, representing approximately 48% of national annual public paediatric ED attendances, are analysed to determine changes in characteristics of attendance during the three month period following the first reported COVID-19 case in Ireland, with reference to specific national public health stages. ED attendance reduced by 27–62% across all categories of diagnosis in the Delay phase and remained significantly below prior year levels as the country began Phase One of Reopening, with an incident rate ratio (IRR) of 0.58. The decrease was predominantly attributable to reduced attendance for injury and viral/viral induced conditions resulting from changed living conditions imposed by the public health response. However, attendance for complex chronic conditions also reduced and had yet to return to pre-COVID levels as reopening began. Attendances referred by general practitioners (GPs) dropped by 13 percentage points in the Delay phase and remained at that level. While changes in living conditions explain much of the decrease in overall attendance and in GP referrals, reduced attendance for complex chronic conditions may indicate avoidance behaviour and continued surveillance is necessary.
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影响因子：
1.9
作者：
Jeong, Hyunho;Jeong, Sikyoung;Hong, Sungyoup
通讯作者：
Hong, Sungyoup
影响因子：
--
作者：
McDonnell, Therese;McAuliffe, Eilish;Nicholson, Emma
通讯作者：
Nicholson, Emma
影响因子：
2.9
作者：
McAuliffe, Eilish;Hamza, Moayed;Hensey, Conor
通讯作者：
Hensey, Conor
影响因子：
2.900
作者：
Paul Mansheim
通讯作者：
Paul Mansheim
影响因子：
--
作者：
Santana R;Sousa JS;Soares P;Lopes S;Boto P;Rocha JV
通讯作者：
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