Your browser doesn't support javascript.
The impact of public health interventions on critical illness in the pediatric emergency department during the SARS-CoV-2 pandemic.
Dean, Preston; Zhang, Yin; Frey, Mary; Shah, Ashish; Edmunds, Katherine; Boyd, Stephanie; Schwartz, Hamilton; Frey, Theresa; Stalets, Erika; Schaffzin, Joshua; Vukovic, Adam A; Reeves, Scott; Masur, Tonya; Kerrey, Benjamin.
  • Dean P; Division of Emergency Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
  • Zhang Y; Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
  • Frey M; Division of Biostatistics and Epidemiology Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
  • Shah A; Division of Emergency Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
  • Edmunds K; Division of Emergency Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
  • Boyd S; Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
  • Schwartz H; Division of Emergency Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
  • Frey T; Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
  • Stalets E; Division of Emergency Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
  • Schaffzin J; Division of Emergency Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
  • Vukovic AA; Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
  • Reeves S; Division of Emergency Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.
  • Masur T; Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
  • Kerrey B; Department of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
J Am Coll Emerg Physicians Open ; 1(6): 1542-1551, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-1898690
ABSTRACT
Study

objective:

The impact of public health interventions during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic on critical illness in children has not been studied. We seek to determine the impact of SARS-CoV-2 related public health interventions on emergency healthcare utilization and frequency of critical illness in children.

Methods:

This was an interrupted time series analysis conducted at a single tertiary pediatric emergency department (PED). All patients evaluated by a provider from December 31 through May 14 of 6 consecutive years (2015-2020) were included. Total patient visits (ED and urgent care), shock trauma suite (STS) volume, and measures of critical illness were compared between the SARS-CoV-2 period (December 31, 2019 to May 14, 2020) and the same period for the previous 5 years combined. A segmented regression model was used to explore differences in the 3 outcomes between the study and control period.

Results:

Total visits, STS volume, and volume of critical illness were all significantly lower during the SARS-CoV-2 period. During the height of public health interventions, per day there were 151 fewer total visits and 7 fewer patients evaluated in the STS. The odds of having a 24-hour period without a single critical patient were >5 times higher. Trends appeared to start before the statewide shelter-in-place order and lasted for at least 8 weeks.

Conclusions:

In a metropolitan area without significant SARS-CoV-2 seeding, the pandemic was associated with a marked reduction in PED visits for critical pediatric illness.

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Journal: J Am Coll Emerg Physicians Open Year: 2020 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Journal: J Am Coll Emerg Physicians Open Year: 2020 Document Type: Article