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  1. Article ; Online: Pretriage criteria for identifying COVID-19-positive patients in the paediatric emergency department.

    Tan, Ronald Ming Ren / Ong, Gene Yong-Kwang / Chong, Shu-Ling / Soo, Jenifer Shui Lian / Ganapathy, Sashikumar / Tyebally, Arif / Lee, Khai Pin

    Singapore medical journal

    2023  

    Language English
    Publishing date 2023-08-14
    Publishing country India
    Document type Journal Article
    ZDB-ID 604319-7
    ISSN 2737-5935 ; 0037-5675
    ISSN (online) 2737-5935
    ISSN 0037-5675
    DOI 10.4103/singaporemedj.SMJ-2021-381
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Impact of COVID-19 on pediatric emergencies and hospitalizations in Singapore.

    Chong, Shu-Ling / Soo, Jenifer Shui Lian / Allen, John Carson / Ganapathy, Sashikumar / Lee, Khai Pin / Tyebally, Arif / Yung, Chee Fu / Thoon, Koh Cheng / Ng, Yong Hong / Oh, Jean Yin / Teoh, Oon Hoe / Mok, Yee Hui / Chan, Yoke Hwee

    BMC pediatrics

    2020  Volume 20, Issue 1, Page(s) 562

    Abstract: Background: Coronavirus disease 2019 (COVID-19) has impacted the provision of health services in all specialties. We aim to study the impact of COVID-19 on the utilization of pediatric hospital services including emergency department (ED) attendances, ... ...

    Abstract Background: Coronavirus disease 2019 (COVID-19) has impacted the provision of health services in all specialties. We aim to study the impact of COVID-19 on the utilization of pediatric hospital services including emergency department (ED) attendances, hospitalizations, diagnostic categories and resource utilization in Singapore.
    Methods: We performed a retrospective review of ED attendances and hospital admissions among children < 18 years old from January 1st to August 8th 2020 in a major pediatric hospital in Singapore. Data were analyzed in the following time periods: Pre-lockdown (divided by the change in Disease Outbreak Response System Condition (DORSCON) level), during-lockdown and post-lockdown. We presented the data using proportions and percentage change in mean counts per day with the corresponding 95% confidence intervals (CIs).
    Results: We attended to 58,367 children with a mean age of 5.1 years (standard deviation, SD 4.6). The mean ED attendance decreased by 331 children/day during lockdown compared to baseline (p < 0.001), attributed largely to a drop in respiratory (% change - 87.9, 95% CI - 89.3 to - 86.3, p < 0.001) and gastrointestinal infections (% change - 72.4, 95%CI - 75.9 to - 68.4, p < 0.001). Trauma-related diagnoses decreased at a slower rate across the same periods (% change - 40.0, 95%CI - 44.3 to - 35.3, p < 0.001). We saw 226 children with child abuse, with a greater proportion of total attendance seen post-lockdown (79, 0.6%) compared to baseline (36, 0.2%) (p < 0.001). In terms of ED resource utilization, there was a decrease in the overall mean number of procedures performed per day during the lockdown compared to baseline, driven largely by a reduction in blood investigations (% change - 73.9, 95%CI - 75.9 to - 71.7, p < 0.001).
    Conclusions: We highlighted a significant decrease in infection-related presentations likely attributed to the lockdown and showed that the relative proportion of trauma-related attendances increased. By describing the impact of COVID-19 on health services, we report important trends that may provide guidance when planning resources for future pandemics.
    MeSH term(s) COVID-19/epidemiology ; Child, Preschool ; Emergencies/epidemiology ; Emergency Service, Hospital/trends ; Female ; Hospitalization/trends ; Humans ; Male ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; Singapore/epidemiology
    Language English
    Publishing date 2020-12-23
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2041342-7
    ISSN 1471-2431 ; 1471-2431
    ISSN (online) 1471-2431
    ISSN 1471-2431
    DOI 10.1186/s12887-020-02469-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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