Effects of the COVID-19 pandemic on the pediatric emergency department: a single institution experience.
Effects of the COVID-19 pandemic on the pediatric emergency department: a single institution experience.
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DOI：
10.1186/s40621-022-00401-w
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发表时间：
2022-12-21
影响因子：
2.2
通讯作者：
Monroe KR
中科院分区：
文献类型：
--
作者：
Masler IV;Shah N;Duerring SA;Monroe KR
COVID-19大流行导致大多数儿科急诊科（艾德）的数量急剧下降。伤害事件持续发生，人们担心在大流行期间伤害事件可能有所增加。本研究评估了COVID-19大流行对独立儿童医院艾德患者趋势的影响。尽管2017年至2019年期间平均每年增加1100例患者，但该艾德在2020年减少了超过25，000例患者。创伤警报的数量从2017年的341个增加到2020年的571个，与2019年相比，2020年的这些数字保持稳定（568-571）。2019年至2020年，创伤警报占总数量的百分比从0.65%增加到1.2%（遵循2017年0.48%至2018年0.56%的趋势）。从历史上看，机动车碰撞占创伤警报的大多数，尽管与枪支有关的伤害的创伤警报数量从2018年的每年36起增加到2019年的44起，再增加到2020年的66起（占创伤警报总数的12%）。 虽然就诊的患者总数减少，但创伤警报的数量保持稳定，导致创伤警报患者的百分比增加。这表明需要启动创伤警报的严重伤害在大流行期间并没有减少。这些趋势对预防和艾德人员配备都有影响。注意到严重伤害类型的变化趋势。
The COVID-19 pandemic resulted in drastic decreases in volume for most pediatric emergency departments (ED). Injuries have persisted and there is concern that injuries may have increased during the pandemic. This study evaluates the impact of the COVID-19 pandemic on ED patient trends at a freestanding children’s hospital. Despite an average annual increase of 1100 patients per year between 2017 and 2019, this ED saw a decrease of over 25,000 patients in 2020. The number of trauma alerts increased from 341 in 2017 to 571 in 2020 and those numbers remained stable (568–571) in 2020 compared to 2019. The percent of total volume accounted for by trauma alerts increased from 0.65 to 1.2% between 2019 and 2020 (following the trend of 0.48% in 2017 to 0.56% in 2018). Historically, motor vehicle crashes account for the majority of the trauma alerts, though the number of trauma alerts from firearm-related injuries increased from 36 per year in 2018 to 44 in 2019 to 66 (12% of total trauma alerts) in 2020. While total volumes of patients being seen decreased, the number of trauma alerts remained stable resulting in an increased percentage of trauma alert patients. This indicates that severe injuries requiring trauma alert activation did not diminish during the pandemic. These trends have implications for prevention as well as implications for ED staffing. Changing trends in types of severe injuries are noted.
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DOI：
10.1016/j.ajem.2021.02.029
发表时间：
2021-07
期刊：
The American journal of emergency medicine
影响因子：
--
作者：
Sokoloff WC;Krief WI;Giusto KA;Mohaimin T;Murphy-Hockett C;Rocker J;Williamson KA
通讯作者：
Williamson KA
影响因子：
4.8
作者：
Kovler ML;Ziegfeld S;Ryan LM;Goldstein MA;Gardner R;Garcia AV;Nasr IW
通讯作者：
Nasr IW
影响因子：
5.1
作者：
Chaiyachati, Barbara H.;Agawu, Atu;Balamuth, Fran
通讯作者：
Balamuth, Fran
DOI：
10.1016/j.ajem.2020.11.037
发表时间：
2021-03
期刊：
The American journal of emergency medicine
影响因子：
--
作者：
Pines JM;Zocchi MS;Black BS;Carlson JN;Celedon P;Moghtaderi A;Venkat A;US Acute Care Solutions Research Group
通讯作者：
US Acute Care Solutions Research Group
影响因子：
9.7
作者：
Bartsch, Sarah M.;Ferguson, Marie C.;Lee, Bruce Y.
通讯作者：
Lee, Bruce Y.