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Article ; Online: Pediatric emergency healthcare utilization during the coronavirus disease 2019 pandemic in Tokyo.

Yamamoto, Hiroo / Morikawa, Yoshihiko / Hagiwara, Yusuke / Hataya, Hiroshi

Pediatrics international : official journal of the Japan Pediatric Society

2021  Volume 64, Issue 1, Page(s) e14936

Abstract: ... disease 2019 pandemic. We investigated changes in pediatric emergency healthcare utilization during ... emergency healthcare utilization was observed during the study period, with the greatest decrease occurring ... the current pandemic.: Methods: Based on data on outpatient healthcare visits to one pediatric emergency ...

Abstract Background: Various public health interventions have been implemented against the coronavirus disease 2019 pandemic. We investigated changes in pediatric emergency healthcare utilization during the current pandemic.
Methods: Based on data on outpatient healthcare visits to one pediatric emergency department in Tokyo, Japan, the descriptive, cross-sectional study compared the number of emergency department visits in 2020 to the number in the previous 3 years. Data were extracted from the electronic triage reporting system. The primary outcome was the number of emergency department visits. The characteristics of patients by age group were also investigated.
Results: A 40.6% reduction in pediatric emergency healthcare utilization was observed during the study period, with the greatest decrease occurring in the number of visits for fever. However, while the number of patients with a complaint with an exogenous cause decreased, the proportion of these patients increased. Although social activities in the greater community have now almost normalized, and only a slight increase in the number of patients with fever has been reported, the number of emergency department visits remains lower than in previous years as of this writing.
Conclusions: Public health interventions led to a reduction in emergency department visits, thereby allowing time to redistribute health-care resources.
MeSH term(s) COVID-19/epidemiology ; Child ; Cross-Sectional Studies ; Emergency Service, Hospital ; Humans ; Pandemics ; Patient Acceptance of Health Care ; Retrospective Studies ; Tokyo/epidemiology
Language English
Publishing date 2021-07-29
Publishing country Australia
Document type Journal Article
ZDB-ID 1470376-2
ISSN 1442-200X ; 1328-8067
ISSN (online) 1442-200X
ISSN 1328-8067
DOI 10.1111/ped.14936
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