One‐year changes in the pediatric emergency department caused by prolonged coronavirus disease 2019 pandemic
Background With the coronavirus disease 2019 (COVID‐19) pandemic lasting for more than a year, it is imperative to identify the associated changes in the use of emergency medical care for efficient operation of the pediatric emergency department (PED). This study was conducted to determine the long‐...
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| Veröffentlicht in: | Pediatrics international 2022-01, Vol.64 (1), p.e15016-n/a |
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| creator | Bae, Woori Choi, Arum Kim, Kyunghoon Kang, Hyun Mi Kim, Sae Yun Lee, Heayon Yoo, Il Han Yang, Eun Ae Chun, Yoon Hong Bin, Joong Hyun Yoon, Jong‐seo Lee, Sang Haak Kim, Hyun Hee Kim, Sukil Jeong, Dae Chul |
| description | Background
With the coronavirus disease 2019 (COVID‐19) pandemic lasting for more than a year, it is imperative to identify the associated changes in the use of emergency medical care for efficient operation of the pediatric emergency department (PED). This study was conducted to determine the long‐term impact of the COVID‐19 pandemic on patterns of PED visits.
Methods
This is a retrospective observational study of visits to the PED of six hospitals, between January 1, 2017, and December 31, 2020. We compared changes in the characteristics of patients before and during the COVID‐19 pandemic.
Results
A total of 245 022 visits were included in this analysis. After the first case of COVID‐19 was reported in Korea, we observed a significant decrease (54.2%) in PED visits compared with the annual average number of visits in the previous 3 years. Since then, the weekly number of PED visits decreased by 11.9 person/week (95% CI: −15.3–−8.4, P |
| doi_str_mv | 10.1111/ped.15016 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8661767</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2579377233</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4676-8b05ad105f56f831d3666ea99595f9c7778446f5c59a2db37a7f50680d1234663</originalsourceid><addsrcrecordid>eNp1kc1qFTEYhoMotlYX3oAE3Ohi2mQy-dsIUlsVCnWh4C7kJN-ckzKTjMlMZXZegtfolZh6alHBbBLIk4fvzYvQU0qOaV0nE_hjygkV99Ah7bq2aQn5fL-eWasaRYQ8QI9KuSKEKKm6h-iAdYIIwdkhipcRfnz7voLN2O1s3ELBIeJ5B7hag51zcBhGyFuIbsUeJpvnEeKMnV0KeLxZ8ZTTkOpLj13KKdrrkJeCfShgC-CWUI0nGz2MwT1GD3o7FHhyux-hT-dnH0_fNReXb9-fvr5oXCekaNSGcOsp4T0XvWLUMyEEWK255r12UtYYnei549q2fsOklT0nQhFP25pNsCP0au-dls0I3tWBsx3MlMNo82qSDebvmxh2ZpuujRKCSiGr4MWtIKcvC5TZjKE4GAYbIS3FtFxqJmXLWEWf_4NepSXHGs-0ShOmtGC0Ui_3lMuplAz93TCUmJsWTf1v86vFyj77c_o78ndtFTjZA1_DAOv_TebD2Zu98ifZ9afR</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2890389631</pqid></control><display><type>article</type><title>One‐year changes in the pediatric emergency department caused by prolonged coronavirus disease 2019 pandemic</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Bae, Woori ; Choi, Arum ; Kim, Kyunghoon ; Kang, Hyun Mi ; Kim, Sae Yun ; Lee, Heayon ; Yoo, Il Han ; Yang, Eun Ae ; Chun, Yoon Hong ; Bin, Joong Hyun ; Yoon, Jong‐seo ; Lee, Sang Haak ; Kim, Hyun Hee ; Kim, Sukil ; Jeong, Dae Chul</creator><creatorcontrib>Bae, Woori ; Choi, Arum ; Kim, Kyunghoon ; Kang, Hyun Mi ; Kim, Sae Yun ; Lee, Heayon ; Yoo, Il Han ; Yang, Eun Ae ; Chun, Yoon Hong ; Bin, Joong Hyun ; Yoon, Jong‐seo ; Lee, Sang Haak ; Kim, Hyun Hee ; Kim, Sukil ; Jeong, Dae Chul</creatorcontrib><description>Background
With the coronavirus disease 2019 (COVID‐19) pandemic lasting for more than a year, it is imperative to identify the associated changes in the use of emergency medical care for efficient operation of the pediatric emergency department (PED). This study was conducted to determine the long‐term impact of the COVID‐19 pandemic on patterns of PED visits.
Methods
This is a retrospective observational study of visits to the PED of six hospitals, between January 1, 2017, and December 31, 2020. We compared changes in the characteristics of patients before and during the COVID‐19 pandemic.
Results
A total of 245 022 visits were included in this analysis. After the first case of COVID‐19 was reported in Korea, we observed a significant decrease (54.2%) in PED visits compared with the annual average number of visits in the previous 3 years. Since then, the weekly number of PED visits decreased by 11.9 person/week (95% CI: −15.3–−8.4, P < 0.001), which included an increase of 0.21% (95% CI: 0.15%–0.26%, P < 0.001) per week in high acuity patients. From 2017 to 2020, the proportion of infectious respiratory diseases by year was 25.9%, 27.0%, 28.6%, and 16.3%, respectively, demonstrating a significant decrease in 2020 (P < 0.001).
Conclusions
During the COVID‐19 pandemic, the number of patient visits to PEDs continues to decline, especially among those with infectious diseases. However, the disease severity of patients has gradually increased. There has been a change in the characteristics of visits to PEDs after COVID‐19 which will require an appropriate response from a long‐term perspective.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/ped.15016</identifier><identifier>PMID: 34606653</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Acuity ; Child ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; Disease ; emergency department ; Emergency medical care ; Emergency Service, Hospital ; Hospitals, Pediatric ; Humans ; Infectious diseases ; Original ; Pandemics ; Patients ; Pediatrics ; respiratory disease ; Respiratory diseases ; Retrospective Studies ; SARS-CoV-2</subject><ispartof>Pediatrics international, 2022-01, Vol.64 (1), p.e15016-n/a</ispartof><rights>2021 Japan Pediatric Society.</rights><rights>2022 Japan Pediatric Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4676-8b05ad105f56f831d3666ea99595f9c7778446f5c59a2db37a7f50680d1234663</citedby><cites>FETCH-LOGICAL-c4676-8b05ad105f56f831d3666ea99595f9c7778446f5c59a2db37a7f50680d1234663</cites><orcidid>0000-0002-7434-4426 ; 0000-0002-0707-6839</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%2Fped.15016$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fped.15016$$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/34606653$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bae, Woori</creatorcontrib><creatorcontrib>Choi, Arum</creatorcontrib><creatorcontrib>Kim, Kyunghoon</creatorcontrib><creatorcontrib>Kang, Hyun Mi</creatorcontrib><creatorcontrib>Kim, Sae Yun</creatorcontrib><creatorcontrib>Lee, Heayon</creatorcontrib><creatorcontrib>Yoo, Il Han</creatorcontrib><creatorcontrib>Yang, Eun Ae</creatorcontrib><creatorcontrib>Chun, Yoon Hong</creatorcontrib><creatorcontrib>Bin, Joong Hyun</creatorcontrib><creatorcontrib>Yoon, Jong‐seo</creatorcontrib><creatorcontrib>Lee, Sang Haak</creatorcontrib><creatorcontrib>Kim, Hyun Hee</creatorcontrib><creatorcontrib>Kim, Sukil</creatorcontrib><creatorcontrib>Jeong, Dae Chul</creatorcontrib><title>One‐year changes in the pediatric emergency department caused by prolonged coronavirus disease 2019 pandemic</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>Background
With the coronavirus disease 2019 (COVID‐19) pandemic lasting for more than a year, it is imperative to identify the associated changes in the use of emergency medical care for efficient operation of the pediatric emergency department (PED). This study was conducted to determine the long‐term impact of the COVID‐19 pandemic on patterns of PED visits.
Methods
This is a retrospective observational study of visits to the PED of six hospitals, between January 1, 2017, and December 31, 2020. We compared changes in the characteristics of patients before and during the COVID‐19 pandemic.
Results
A total of 245 022 visits were included in this analysis. After the first case of COVID‐19 was reported in Korea, we observed a significant decrease (54.2%) in PED visits compared with the annual average number of visits in the previous 3 years. Since then, the weekly number of PED visits decreased by 11.9 person/week (95% CI: −15.3–−8.4, P < 0.001), which included an increase of 0.21% (95% CI: 0.15%–0.26%, P < 0.001) per week in high acuity patients. From 2017 to 2020, the proportion of infectious respiratory diseases by year was 25.9%, 27.0%, 28.6%, and 16.3%, respectively, demonstrating a significant decrease in 2020 (P < 0.001).
Conclusions
During the COVID‐19 pandemic, the number of patient visits to PEDs continues to decline, especially among those with infectious diseases. However, the disease severity of patients has gradually increased. There has been a change in the characteristics of visits to PEDs after COVID‐19 which will require an appropriate response from a long‐term perspective.</description><subject>Acuity</subject><subject>Child</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Disease</subject><subject>emergency department</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital</subject><subject>Hospitals, Pediatric</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Original</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>respiratory disease</subject><subject>Respiratory diseases</subject><subject>Retrospective Studies</subject><subject>SARS-CoV-2</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1qFTEYhoMotlYX3oAE3Ohi2mQy-dsIUlsVCnWh4C7kJN-ckzKTjMlMZXZegtfolZh6alHBbBLIk4fvzYvQU0qOaV0nE_hjygkV99Ah7bq2aQn5fL-eWasaRYQ8QI9KuSKEKKm6h-iAdYIIwdkhipcRfnz7voLN2O1s3ELBIeJ5B7hag51zcBhGyFuIbsUeJpvnEeKMnV0KeLxZ8ZTTkOpLj13KKdrrkJeCfShgC-CWUI0nGz2MwT1GD3o7FHhyux-hT-dnH0_fNReXb9-fvr5oXCekaNSGcOsp4T0XvWLUMyEEWK255r12UtYYnei549q2fsOklT0nQhFP25pNsCP0au-dls0I3tWBsx3MlMNo82qSDebvmxh2ZpuujRKCSiGr4MWtIKcvC5TZjKE4GAYbIS3FtFxqJmXLWEWf_4NepSXHGs-0ShOmtGC0Ui_3lMuplAz93TCUmJsWTf1v86vFyj77c_o78ndtFTjZA1_DAOv_TebD2Zu98ifZ9afR</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Bae, Woori</creator><creator>Choi, Arum</creator><creator>Kim, Kyunghoon</creator><creator>Kang, Hyun Mi</creator><creator>Kim, Sae Yun</creator><creator>Lee, Heayon</creator><creator>Yoo, Il Han</creator><creator>Yang, Eun Ae</creator><creator>Chun, Yoon Hong</creator><creator>Bin, Joong Hyun</creator><creator>Yoon, Jong‐seo</creator><creator>Lee, Sang Haak</creator><creator>Kim, Hyun Hee</creator><creator>Kim, Sukil</creator><creator>Jeong, Dae Chul</creator><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7434-4426</orcidid><orcidid>https://orcid.org/0000-0002-0707-6839</orcidid></search><sort><creationdate>202201</creationdate><title>One‐year changes in the pediatric emergency department caused by prolonged coronavirus disease 2019 pandemic</title><author>Bae, Woori ; Choi, Arum ; Kim, Kyunghoon ; Kang, Hyun Mi ; Kim, Sae Yun ; Lee, Heayon ; Yoo, Il Han ; Yang, Eun Ae ; Chun, Yoon Hong ; Bin, Joong Hyun ; Yoon, Jong‐seo ; Lee, Sang Haak ; Kim, Hyun Hee ; Kim, Sukil ; Jeong, Dae Chul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4676-8b05ad105f56f831d3666ea99595f9c7778446f5c59a2db37a7f50680d1234663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acuity</topic><topic>Child</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Disease</topic><topic>emergency department</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital</topic><topic>Hospitals, Pediatric</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Original</topic><topic>Pandemics</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>respiratory disease</topic><topic>Respiratory diseases</topic><topic>Retrospective Studies</topic><topic>SARS-CoV-2</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bae, Woori</creatorcontrib><creatorcontrib>Choi, Arum</creatorcontrib><creatorcontrib>Kim, Kyunghoon</creatorcontrib><creatorcontrib>Kang, Hyun Mi</creatorcontrib><creatorcontrib>Kim, Sae Yun</creatorcontrib><creatorcontrib>Lee, Heayon</creatorcontrib><creatorcontrib>Yoo, Il Han</creatorcontrib><creatorcontrib>Yang, Eun Ae</creatorcontrib><creatorcontrib>Chun, Yoon Hong</creatorcontrib><creatorcontrib>Bin, Joong Hyun</creatorcontrib><creatorcontrib>Yoon, Jong‐seo</creatorcontrib><creatorcontrib>Lee, Sang Haak</creatorcontrib><creatorcontrib>Kim, Hyun Hee</creatorcontrib><creatorcontrib>Kim, Sukil</creatorcontrib><creatorcontrib>Jeong, Dae Chul</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bae, Woori</au><au>Choi, Arum</au><au>Kim, Kyunghoon</au><au>Kang, Hyun Mi</au><au>Kim, Sae Yun</au><au>Lee, Heayon</au><au>Yoo, Il Han</au><au>Yang, Eun Ae</au><au>Chun, Yoon Hong</au><au>Bin, Joong Hyun</au><au>Yoon, Jong‐seo</au><au>Lee, Sang Haak</au><au>Kim, Hyun Hee</au><au>Kim, Sukil</au><au>Jeong, Dae Chul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>One‐year changes in the pediatric emergency department caused by prolonged coronavirus disease 2019 pandemic</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2022-01</date><risdate>2022</risdate><volume>64</volume><issue>1</issue><spage>e15016</spage><epage>n/a</epage><pages>e15016-n/a</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>Background
With the coronavirus disease 2019 (COVID‐19) pandemic lasting for more than a year, it is imperative to identify the associated changes in the use of emergency medical care for efficient operation of the pediatric emergency department (PED). This study was conducted to determine the long‐term impact of the COVID‐19 pandemic on patterns of PED visits.
Methods
This is a retrospective observational study of visits to the PED of six hospitals, between January 1, 2017, and December 31, 2020. We compared changes in the characteristics of patients before and during the COVID‐19 pandemic.
Results
A total of 245 022 visits were included in this analysis. After the first case of COVID‐19 was reported in Korea, we observed a significant decrease (54.2%) in PED visits compared with the annual average number of visits in the previous 3 years. Since then, the weekly number of PED visits decreased by 11.9 person/week (95% CI: −15.3–−8.4, P < 0.001), which included an increase of 0.21% (95% CI: 0.15%–0.26%, P < 0.001) per week in high acuity patients. From 2017 to 2020, the proportion of infectious respiratory diseases by year was 25.9%, 27.0%, 28.6%, and 16.3%, respectively, demonstrating a significant decrease in 2020 (P < 0.001).
Conclusions
During the COVID‐19 pandemic, the number of patient visits to PEDs continues to decline, especially among those with infectious diseases. However, the disease severity of patients has gradually increased. There has been a change in the characteristics of visits to PEDs after COVID‐19 which will require an appropriate response from a long‐term perspective.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>34606653</pmid><doi>10.1111/ped.15016</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7434-4426</orcidid><orcidid>https://orcid.org/0000-0002-0707-6839</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Acuity Child Coronaviruses COVID-19 COVID-19 - epidemiology Disease emergency department Emergency medical care Emergency Service, Hospital Hospitals, Pediatric Humans Infectious diseases Original Pandemics Patients Pediatrics respiratory disease Respiratory diseases Retrospective Studies SARS-CoV-2 |
| title | One‐year changes in the pediatric emergency department caused by prolonged coronavirus disease 2019 pandemic |
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