The impact of COVID-19 on the patterns of emergency department visits among pediatric patients
DC Field | Value | Language |
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dc.contributor.author | Kim, Seonji | - |
dc.contributor.author | Ro, Young Sun | - |
dc.contributor.author | Ko, Sung-keun | - |
dc.contributor.author | Kim, Taehui | - |
dc.contributor.author | Pak, Yun-Suk | - |
dc.contributor.author | Han, So-Hyun | - |
dc.contributor.author | Moon, Sungwoo | - |
dc.date.accessioned | 2022-11-19T15:40:31Z | - |
dc.date.available | 2022-11-19T15:40:31Z | - |
dc.date.created | 2022-11-17 | - |
dc.date.issued | 2022-04 | - |
dc.identifier.issn | 0735-6757 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/145951 | - |
dc.description.abstract | Objectives: This study aimed to investigate the patterns of pediatric patients visiting emergency departments (EDs) before and after the COVID-19 pandemic and evaluate the interactive effect between the COVID-19 outbreak and age groups.Methods: We performed a cross-sectional study using the nationwide emergency patient database in Korea from January 2019 to December 2020. Pediatric patients (<= 18 years) who visited all 402 nationwide EDs were included. The age-and sex-standardized incidence rates of pediatric ED visits per 1,000,000 person-days were calculated, and the incidence rate ratio (IRR) was calculated. The adjusted odds ratio (aOR) and 95% confidence interval (CI) of in-hospital mortality were calculated by a multivariable logistic regression.Results: Among 2,808,756 patients, 1,835,045 (65.3%) patients visited before COVID-19, and 973,711 (34.7%) patients visited after the COVID-19 period. The standardized incidence rates of ED visits per 1,000,000 person-days were 589.3 in the before COVID-19 group and 326.9 in the after COVID-19 group (IRR (95% CI): 0.55 (0.53-0.58)). By diagnosis, the IRRs (95% CI) of mental health disorders (0.84 (0.42-1.65)) and self-harm or suicidal attempts (0.99 (0.38-2.59) were not significant, while the incidence rate of infectious disease was significantly decreased (0.48 (0.42-0.54)). The aOR (95% CI) of in-hospital mortality after COVID-19 was 1.58 (1.44-1.73) compared to that before COVID-19.Conclusions: During the COVID-19 pandemic, the incidence of pediatric ED visits decreased, and these effects differed by age group. Age-specific policies are needed to ensure that children receive the care they need at the right time. (c) 2022 Elsevier Inc. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | W B SAUNDERS CO-ELSEVIER INC | - |
dc.title | The impact of COVID-19 on the patterns of emergency department visits among pediatric patients | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Moon, Sungwoo | - |
dc.identifier.doi | 10.1016/j.ajem.2022.02.009 | - |
dc.identifier.scopusid | 2-s2.0-85124313413 | - |
dc.identifier.wosid | 000797601400034 | - |
dc.identifier.bibliographicCitation | AMERICAN JOURNAL OF EMERGENCY MEDICINE, v.54, pp.196 - 201 | - |
dc.relation.isPartOf | AMERICAN JOURNAL OF EMERGENCY MEDICINE | - |
dc.citation.title | AMERICAN JOURNAL OF EMERGENCY MEDICINE | - |
dc.citation.volume | 54 | - |
dc.citation.startPage | 196 | - |
dc.citation.endPage | 201 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.subject.keywordAuthor | COVID-19 | - |
dc.subject.keywordAuthor | Pediatrics | - |
dc.subject.keywordAuthor | Emergency department utilization | - |
dc.subject.keywordAuthor | COVID-19 | - |
dc.subject.keywordAuthor | Pediatrics | - |
dc.subject.keywordAuthor | Emergency department utilization | - |
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