Evidence map›Paper›PMID 26857616›Full record

ArticleDisaster medicine and public health preparedness2016

Geographic Distribution of Disaster-Specific Emergency Department Use After Hurricane Sandy in New York City.

David C Lee, Silas W Smith, Brendan G Carr, Kelly M Doran, Ian Portelli, Corita R Grudzen, Lewis R Goldfrank

Abstract read
In one paragraph

Article in Disaster medicine and public health preparedness, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
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  9. Observational
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  11. Observational
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  13. Article
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  15. Emergency Department Use Among Assisted Living Residents After Hurricane Irma.Journal of the American Medical Directors Association · 2021
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  16. Perspectives on the Health Effects of Hurricanes: A Review and Challenges.International journal of environmental research and public health · 2021
    Review
  17. Emergency department operations in a large health system during COVID-19.The American journal of emergency medicine · 2021
    Article
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  20. Power Outage Preparedness and Concern among Vulnerable New York City Residents.Journal of urban health : bulletin of the New York Academy of Medicine · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

David C Lee1Ronald O. Perelman Department of Emergency Medicine,New York University School of Medicine,New York,New York.
Silas W Smith1Ronald O. Perelman Department of Emergency Medicine,New York University School of Medicine,New York,New York.
Brendan G Carr3Department of Emergency Medicine,Sidney Kimmel Medical College,Thomas Jefferson University,Philadelphia,Pennsylvania.
Kelly M Doran1Ronald O. Perelman Department of Emergency Medicine,New York University School of Medicine,New York,New York.
Ian Portelli1Ronald O. Perelman Department of Emergency Medicine,New York University School of Medicine,New York,New York.
Corita R Grudzen1Ronald O. Perelman Department of Emergency Medicine,New York University School of Medicine,New York,New York.
Lewis R Goldfrank1Ronald O. Perelman Department of Emergency Medicine,New York University School of Medicine,New York,New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to characterize the geographic distribution of post-Hurricane Sandy emergency department use in administrative flood evacuation zones of New York City.

methodsUsing emergency claims data, we identified significant deviations in emergency department use after Hurricane Sandy. Using time-series analysis, we analyzed the frequency of visits for specific conditions and comorbidities to identify medically vulnerable populations who developed acute postdisaster medical needs.

resultsWe found statistically significant decreases in overall post-Sandy emergency department use in New York City but increased utilization in the most vulnerable evacuation zone. In addition to dialysis- and ventilator-dependent patients, we identified that patients who were elderly or homeless or who had diabetes, dementia, cardiac conditions, limitations in mobility, or drug dependence were more likely to visit emergency departments after Hurricane Sandy. Furthermore, patients were more likely to develop drug-resistant infections, require isolation, and present for hypothermia, environmental exposures, or administrative reasons.

conclusionsOur study identified high-risk populations who developed acute medical and social needs in specific geographic areas after Hurricane Sandy. Our findings can inform coherent and targeted responses to disasters. Early identification of medically vulnerable populations can help to map "hot spots" requiring additional medical and social attention and prioritize resources for areas most impacted by disasters. (Disaster Med Public Health Preparedness. 2016;10:351-361).

Indexed as

Geographic MappingCyclonic StormsEmergency Service, HospitalHumansNew York CityTime and Motion StudiesVulnerable Populationsdisaster medicineemergency department utilizationgeographic information systemsvulnerable populations

Identifiers

PMID26857616
PMCPMC7112993

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.