Emergency department presentations in the Southern District of New Zealand during the 2020 COVID‐19 pandemic lockdown
Objective To assess changes in presentations to EDs during the COVID‐19 pandemic lockdown in the Southern Region of New Zealand. Methods We conducted a retrospective audit of patients attending EDs in the Southern District Health Board (SDHB), from 1 March to 13 May 2020. We made comparisons with at...
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| Veröffentlicht in: | Emergency medicine Australasia 2021-06, Vol.33 (3), p.534-540 |
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| creator | Allen, Manurereau T Thompson, Brianna C Atkinson, Brad Fyfe, Christie E Scanlan, Meghan J Stephen, Rachel E Thomas, Sophie I Welsh, Grace N Wrigley, Rebekah McLeay, Adam Beck, Sierra Dockerty, John D |
| description | Objective
To assess changes in presentations to EDs during the COVID‐19 pandemic lockdown in the Southern Region of New Zealand.
Methods
We conducted a retrospective audit of patients attending EDs in the Southern District Health Board (SDHB), from 1 March to 13 May 2020. We made comparisons with attendances during the same period in 2019. The 2020 study period included ‘pre‐lockdown’ (1 March–25 March), ‘level 4 (strict) lockdown’ (26 March–27 April) and ‘level 3 (eased) lockdown’ (28 April–13 May).
Results
Patient volumes reduced in all SDHB EDs during levels 4 and 3, mostly representing a loss of low acuity patients (Australasian Triage Scale 3, 4 and 5), although high‐acuity presentations also declined. Average patient age increased by 5 years; however, the proportions of sexes and ethnicities did not change. Presentations of cerebrovascular accidents and appendicitis did not change significantly. Trauma, mental health, acute coronary syndrome and infectious respiratory presentations decreased significantly during level 4, and infectious respiratory presentations decreased further in level 3.
Conclusions
Within the SDHB, patient volumes reduced during levels 4 and 3 of our lockdown, with reduced low‐acuity presentations. High‐acuity patient numbers also declined. Trauma, mental health, alcohol‐related, infectious respiratory and acute coronary syndrome presentations declined while cerebrovascular accident and appendicitis numbers showed little to no change.
We assessed changes in presentations to EDs during the COVID‐19 pandemic lockdown in the Southern Region of New Zealand. Patient volumes reduced during levels 4 and 3 of our lockdown, with reduced low‐acuity presentations. High‐acuity patient numbers also declined. Trauma, mental health, alcohol‐related, infectious respiratory and acute coronary syndrome presentations declined while cerebrovascular accident and appendicitis showed little‐to‐no change. |
| doi_str_mv | 10.1111/1742-6723.13749 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8013615</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2489600794</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4399-6301b4ea0a9e2a9cea868e8518dac32bbfc0a4da2e3f7718a6b0969e758ae04f3</originalsourceid><addsrcrecordid>eNqFkc1u1DAUha0K1JbSdXfISzbT-i-JvUFC0ylUaumihQUby3FupobETu2ko9nxCDwjT4KnU0awwptj-X73-F4dhE4oOaX5nNFKsFlZMX5KeSXUHjrcvbzY3Tk9QK9S-kYIk4KqfXTAeSFLzukhWi16iEvwdo0bGEwce_AjHiKkrGZ0wSfsPB7vAd-GKUv0-NylMTo74tDiT7DCX8F0xje4maLzyyeWEUbw_ObL5fmvHz-pwkOuQ-8s7oL93oSVf41etqZLcPysR-jzxeJu_nF2dfPhcv7-amYFV2pWckJrAYYYBcwoC0aWEmRBZWMsZ3XdWmJEYxjwtqqoNGVNVKmgKqQBIlp-hN5tfYep7qGxeatoOj1E15u41sE4_W_Fu3u9DI9aEspLWmSDt88GMTxMkEbdu2ShyxtDmJJmQqqSkEqJjJ5tURtDShHa3TeU6E1cehOI3oSjn-LKHW_-nm7H_8knA8UWWLkO1v_z04vr663xb_FEogs</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2489600794</pqid></control><display><type>article</type><title>Emergency department presentations in the Southern District of New Zealand during the 2020 COVID‐19 pandemic lockdown</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Allen, Manurereau T ; Thompson, Brianna C ; Atkinson, Brad ; Fyfe, Christie E ; Scanlan, Meghan J ; Stephen, Rachel E ; Thomas, Sophie I ; Welsh, Grace N ; Wrigley, Rebekah ; McLeay, Adam ; Beck, Sierra ; Dockerty, John D</creator><creatorcontrib>Allen, Manurereau T ; Thompson, Brianna C ; Atkinson, Brad ; Fyfe, Christie E ; Scanlan, Meghan J ; Stephen, Rachel E ; Thomas, Sophie I ; Welsh, Grace N ; Wrigley, Rebekah ; McLeay, Adam ; Beck, Sierra ; Dockerty, John D</creatorcontrib><description>Objective
To assess changes in presentations to EDs during the COVID‐19 pandemic lockdown in the Southern Region of New Zealand.
Methods
We conducted a retrospective audit of patients attending EDs in the Southern District Health Board (SDHB), from 1 March to 13 May 2020. We made comparisons with attendances during the same period in 2019. The 2020 study period included ‘pre‐lockdown’ (1 March–25 March), ‘level 4 (strict) lockdown’ (26 March–27 April) and ‘level 3 (eased) lockdown’ (28 April–13 May).
Results
Patient volumes reduced in all SDHB EDs during levels 4 and 3, mostly representing a loss of low acuity patients (Australasian Triage Scale 3, 4 and 5), although high‐acuity presentations also declined. Average patient age increased by 5 years; however, the proportions of sexes and ethnicities did not change. Presentations of cerebrovascular accidents and appendicitis did not change significantly. Trauma, mental health, acute coronary syndrome and infectious respiratory presentations decreased significantly during level 4, and infectious respiratory presentations decreased further in level 3.
Conclusions
Within the SDHB, patient volumes reduced during levels 4 and 3 of our lockdown, with reduced low‐acuity presentations. High‐acuity patient numbers also declined. Trauma, mental health, alcohol‐related, infectious respiratory and acute coronary syndrome presentations declined while cerebrovascular accident and appendicitis numbers showed little to no change.
We assessed changes in presentations to EDs during the COVID‐19 pandemic lockdown in the Southern Region of New Zealand. Patient volumes reduced during levels 4 and 3 of our lockdown, with reduced low‐acuity presentations. High‐acuity patient numbers also declined. Trauma, mental health, alcohol‐related, infectious respiratory and acute coronary syndrome presentations declined while cerebrovascular accident and appendicitis showed little‐to‐no change.</description><identifier>ISSN: 1742-6731</identifier><identifier>EISSN: 1742-6723</identifier><identifier>DOI: 10.1111/1742-6723.13749</identifier><identifier>PMID: 33586331</identifier><language>eng</language><publisher>Melbourne: Wiley Publishing Asia Pty Ltd</publisher><subject>acute coronary syndrome ; COVID‐19 ; emergency department ; mental health ; New Zealand ; Original Research ; respiratory infection</subject><ispartof>Emergency medicine Australasia, 2021-06, Vol.33 (3), p.534-540</ispartof><rights>2021 Australasian College for Emergency Medicine</rights><rights>2021 Australasian College for Emergency Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4399-6301b4ea0a9e2a9cea868e8518dac32bbfc0a4da2e3f7718a6b0969e758ae04f3</citedby><cites>FETCH-LOGICAL-c4399-6301b4ea0a9e2a9cea868e8518dac32bbfc0a4da2e3f7718a6b0969e758ae04f3</cites><orcidid>0000-0002-1614-5058 ; 0000-0002-5644-9398</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1742-6723.13749$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1742-6723.13749$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,777,781,882,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33586331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allen, Manurereau T</creatorcontrib><creatorcontrib>Thompson, Brianna C</creatorcontrib><creatorcontrib>Atkinson, Brad</creatorcontrib><creatorcontrib>Fyfe, Christie E</creatorcontrib><creatorcontrib>Scanlan, Meghan J</creatorcontrib><creatorcontrib>Stephen, Rachel E</creatorcontrib><creatorcontrib>Thomas, Sophie I</creatorcontrib><creatorcontrib>Welsh, Grace N</creatorcontrib><creatorcontrib>Wrigley, Rebekah</creatorcontrib><creatorcontrib>McLeay, Adam</creatorcontrib><creatorcontrib>Beck, Sierra</creatorcontrib><creatorcontrib>Dockerty, John D</creatorcontrib><title>Emergency department presentations in the Southern District of New Zealand during the 2020 COVID‐19 pandemic lockdown</title><title>Emergency medicine Australasia</title><addtitle>Emerg Med Australas</addtitle><description>Objective
To assess changes in presentations to EDs during the COVID‐19 pandemic lockdown in the Southern Region of New Zealand.
Methods
We conducted a retrospective audit of patients attending EDs in the Southern District Health Board (SDHB), from 1 March to 13 May 2020. We made comparisons with attendances during the same period in 2019. The 2020 study period included ‘pre‐lockdown’ (1 March–25 March), ‘level 4 (strict) lockdown’ (26 March–27 April) and ‘level 3 (eased) lockdown’ (28 April–13 May).
Results
Patient volumes reduced in all SDHB EDs during levels 4 and 3, mostly representing a loss of low acuity patients (Australasian Triage Scale 3, 4 and 5), although high‐acuity presentations also declined. Average patient age increased by 5 years; however, the proportions of sexes and ethnicities did not change. Presentations of cerebrovascular accidents and appendicitis did not change significantly. Trauma, mental health, acute coronary syndrome and infectious respiratory presentations decreased significantly during level 4, and infectious respiratory presentations decreased further in level 3.
Conclusions
Within the SDHB, patient volumes reduced during levels 4 and 3 of our lockdown, with reduced low‐acuity presentations. High‐acuity patient numbers also declined. Trauma, mental health, alcohol‐related, infectious respiratory and acute coronary syndrome presentations declined while cerebrovascular accident and appendicitis numbers showed little to no change.
We assessed changes in presentations to EDs during the COVID‐19 pandemic lockdown in the Southern Region of New Zealand. Patient volumes reduced during levels 4 and 3 of our lockdown, with reduced low‐acuity presentations. High‐acuity patient numbers also declined. Trauma, mental health, alcohol‐related, infectious respiratory and acute coronary syndrome presentations declined while cerebrovascular accident and appendicitis showed little‐to‐no change.</description><subject>acute coronary syndrome</subject><subject>COVID‐19</subject><subject>emergency department</subject><subject>mental health</subject><subject>New Zealand</subject><subject>Original Research</subject><subject>respiratory infection</subject><issn>1742-6731</issn><issn>1742-6723</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqFkc1u1DAUha0K1JbSdXfISzbT-i-JvUFC0ylUaumihQUby3FupobETu2ko9nxCDwjT4KnU0awwptj-X73-F4dhE4oOaX5nNFKsFlZMX5KeSXUHjrcvbzY3Tk9QK9S-kYIk4KqfXTAeSFLzukhWi16iEvwdo0bGEwce_AjHiKkrGZ0wSfsPB7vAd-GKUv0-NylMTo74tDiT7DCX8F0xje4maLzyyeWEUbw_ObL5fmvHz-pwkOuQ-8s7oL93oSVf41etqZLcPysR-jzxeJu_nF2dfPhcv7-amYFV2pWckJrAYYYBcwoC0aWEmRBZWMsZ3XdWmJEYxjwtqqoNGVNVKmgKqQBIlp-hN5tfYep7qGxeatoOj1E15u41sE4_W_Fu3u9DI9aEspLWmSDt88GMTxMkEbdu2ShyxtDmJJmQqqSkEqJjJ5tURtDShHa3TeU6E1cehOI3oSjn-LKHW_-nm7H_8knA8UWWLkO1v_z04vr663xb_FEogs</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Allen, Manurereau T</creator><creator>Thompson, Brianna C</creator><creator>Atkinson, Brad</creator><creator>Fyfe, Christie E</creator><creator>Scanlan, Meghan J</creator><creator>Stephen, Rachel E</creator><creator>Thomas, Sophie I</creator><creator>Welsh, Grace N</creator><creator>Wrigley, Rebekah</creator><creator>McLeay, Adam</creator><creator>Beck, Sierra</creator><creator>Dockerty, John D</creator><general>Wiley Publishing Asia Pty Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1614-5058</orcidid><orcidid>https://orcid.org/0000-0002-5644-9398</orcidid></search><sort><creationdate>202106</creationdate><title>Emergency department presentations in the Southern District of New Zealand during the 2020 COVID‐19 pandemic lockdown</title><author>Allen, Manurereau T ; Thompson, Brianna C ; Atkinson, Brad ; Fyfe, Christie E ; Scanlan, Meghan J ; Stephen, Rachel E ; Thomas, Sophie I ; Welsh, Grace N ; Wrigley, Rebekah ; McLeay, Adam ; Beck, Sierra ; Dockerty, John D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4399-6301b4ea0a9e2a9cea868e8518dac32bbfc0a4da2e3f7718a6b0969e758ae04f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>acute coronary syndrome</topic><topic>COVID‐19</topic><topic>emergency department</topic><topic>mental health</topic><topic>New Zealand</topic><topic>Original Research</topic><topic>respiratory infection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allen, Manurereau T</creatorcontrib><creatorcontrib>Thompson, Brianna C</creatorcontrib><creatorcontrib>Atkinson, Brad</creatorcontrib><creatorcontrib>Fyfe, Christie E</creatorcontrib><creatorcontrib>Scanlan, Meghan J</creatorcontrib><creatorcontrib>Stephen, Rachel E</creatorcontrib><creatorcontrib>Thomas, Sophie I</creatorcontrib><creatorcontrib>Welsh, Grace N</creatorcontrib><creatorcontrib>Wrigley, Rebekah</creatorcontrib><creatorcontrib>McLeay, Adam</creatorcontrib><creatorcontrib>Beck, Sierra</creatorcontrib><creatorcontrib>Dockerty, John D</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Emergency medicine Australasia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allen, Manurereau T</au><au>Thompson, Brianna C</au><au>Atkinson, Brad</au><au>Fyfe, Christie E</au><au>Scanlan, Meghan J</au><au>Stephen, Rachel E</au><au>Thomas, Sophie I</au><au>Welsh, Grace N</au><au>Wrigley, Rebekah</au><au>McLeay, Adam</au><au>Beck, Sierra</au><au>Dockerty, John D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency department presentations in the Southern District of New Zealand during the 2020 COVID‐19 pandemic lockdown</atitle><jtitle>Emergency medicine Australasia</jtitle><addtitle>Emerg Med Australas</addtitle><date>2021-06</date><risdate>2021</risdate><volume>33</volume><issue>3</issue><spage>534</spage><epage>540</epage><pages>534-540</pages><issn>1742-6731</issn><eissn>1742-6723</eissn><abstract>Objective
To assess changes in presentations to EDs during the COVID‐19 pandemic lockdown in the Southern Region of New Zealand.
Methods
We conducted a retrospective audit of patients attending EDs in the Southern District Health Board (SDHB), from 1 March to 13 May 2020. We made comparisons with attendances during the same period in 2019. The 2020 study period included ‘pre‐lockdown’ (1 March–25 March), ‘level 4 (strict) lockdown’ (26 March–27 April) and ‘level 3 (eased) lockdown’ (28 April–13 May).
Results
Patient volumes reduced in all SDHB EDs during levels 4 and 3, mostly representing a loss of low acuity patients (Australasian Triage Scale 3, 4 and 5), although high‐acuity presentations also declined. Average patient age increased by 5 years; however, the proportions of sexes and ethnicities did not change. Presentations of cerebrovascular accidents and appendicitis did not change significantly. Trauma, mental health, acute coronary syndrome and infectious respiratory presentations decreased significantly during level 4, and infectious respiratory presentations decreased further in level 3.
Conclusions
Within the SDHB, patient volumes reduced during levels 4 and 3 of our lockdown, with reduced low‐acuity presentations. High‐acuity patient numbers also declined. Trauma, mental health, alcohol‐related, infectious respiratory and acute coronary syndrome presentations declined while cerebrovascular accident and appendicitis numbers showed little to no change.
We assessed changes in presentations to EDs during the COVID‐19 pandemic lockdown in the Southern Region of New Zealand. Patient volumes reduced during levels 4 and 3 of our lockdown, with reduced low‐acuity presentations. High‐acuity patient numbers also declined. Trauma, mental health, alcohol‐related, infectious respiratory and acute coronary syndrome presentations declined while cerebrovascular accident and appendicitis showed little‐to‐no change.</abstract><cop>Melbourne</cop><pub>Wiley Publishing Asia Pty Ltd</pub><pmid>33586331</pmid><doi>10.1111/1742-6723.13749</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1614-5058</orcidid><orcidid>https://orcid.org/0000-0002-5644-9398</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1742-6731 |
| ispartof | Emergency medicine Australasia, 2021-06, Vol.33 (3), p.534-540 |
| issn | 1742-6731 1742-6723 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8013615 |
| source | Wiley Online Library Journals Frontfile Complete |
| subjects | acute coronary syndrome COVID‐19 emergency department mental health New Zealand Original Research respiratory infection |
| title | Emergency department presentations in the Southern District of New Zealand during the 2020 COVID‐19 pandemic lockdown |
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