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  1. Article ; Online: Pediatric emergency department volumes and throughput during the COVID-19 pandemic.

    Even, Laura / Lipshaw, Matthew J / Wilson, Paria M / Dean, Preston / Kerrey, Benjamin T / Vukovic, Adam A

    The American journal of emergency medicine

    2020  Volume 46, Page(s) 739–741

    MeSH term(s) COVID-19/epidemiology ; Child ; Emergency Service, Hospital/statistics & numerical data ; Hospitalization/trends ; Humans ; Pandemics ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-09-28
    Publishing country United States
    Document type Letter
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2020.09.074
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pediatric emergency department volumes and throughput during the COVID-19 pandemic

    Even, Laura / Lipshaw, Matthew J. / Wilson, Paria M. / Dean, Preston / Kerrey, Benjamin T. / Vukovic, Adam A.

    The American Journal of Emergency Medicine ; ISSN 0735-6757

    2020  

    Keywords Emergency Medicine ; General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    DOI 10.1016/j.ajem.2020.09.074
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Pediatric emergency department volumes and throughput during the COVID-19 pandemic

    Even, Laura / Lipshaw, Matthew J / Wilson, Paria M / Dean, Preston / Kerrey, Benjamin T / Vukovic, Adam A

    Am. j. emerg. med

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #813419
    Database COVID19

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  4. Article ; Online: Pediatric emergency care in New York City during the COVID-19 pandemic shutdown and reopening periods.

    Liang, Tian / Chamdawala, Haamid S / Tay, Ee Tein / Chao, Jennifer / Waseem, Muhammad / Lee, Horton / Mortel, David / Agoritsas, Konstantinos / Teo, Hugo O / Meltzer, James A

    The American journal of emergency medicine

    2022  Volume 56, Page(s) 137–144

    Abstract: ... Prior studies reported substantial declines in pediatric emergency department (ED) volume during ... in patient acuity during both the initial pandemic surge and through the reopening periods. As COVID-19 variants ... in the United States and was an early epicenter of coronavirus disease 2019 (COVID-19) infections. This system serves ...

    Abstract Objective: New York City (NYC) is home to the largest public healthcare system in the United States and was an early epicenter of coronavirus disease 2019 (COVID-19) infections. This system serves as the safety net for underserved and marginalized communities disproportionately affected by the pandemic. Prior studies reported substantial declines in pediatric emergency department (ED) volume during the initial pandemic surge, but few describe the ongoing impact of COVID-19 throughout the year. We evaluated the characteristics of pediatric ED visits to NYC public hospitals during the pandemic lockdown and reopening periods of 2020 compared to the prior year.
    Methods: Retrospective cross-sectional analysis of pediatric ED visits from 11 NYC public hospitals from January 2019-December 2020. Visit demographics, throughput times, and diagnosis information during the early (3/7/20-6/7/20) and late (6/8/20-12/31/20) pandemic periods coinciding with the New York State of emergency declaration (3/7/20) and the first reopening date (6/7/20) were compared to similar time periods in 2019. Findings were correlated with key pandemic shutdown and reopening events.
    Results: There was a 47% decrease in ED volume in 2020 compared to 2019 (125,649 versus 238,024 visits). After reopening orders began in June 2020, volumes increased but peaked at <60% of 2019 volumes. Admission rates, triage acuity, and risk of presenting with a serious medical illness were significantly higher in 2020 versus 2019 (P < 0.001). Time-to-provider times decreased however provider-to-disposition times increased during the pandemic (P < 0.001). Infectious and asthma diagnoses declined >70% during the pandemic in contrast to the year prior. After reopening periods began, penetrating traumatic injuries significantly increased compared to 2019 [+34%, Relative Risk: 3.2 (2.6, 3.8)].
    Conclusions: NYC public hospitals experienced a sharp decrease in pediatric volume but an increase in patient acuity during both the initial pandemic surge and through the reopening periods. As COVID-19 variants emerge, the threat of the current pandemic expanding remains. Understanding its influence on pediatric ED utilization can optimize resource allocation and ensure equitable care for future surge events.
    MeSH term(s) COVID-19/epidemiology ; Child ; Communicable Disease Control ; Cross-Sectional Studies ; Emergency Service, Hospital ; Humans ; New York City/epidemiology ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; United States
    Language English
    Publishing date 2022-03-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2022.03.049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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