ArticleInternational journal of environmental research and public health2020
Assessing the Impact of COVID-19 Public Health Stages on Paediatric Emergency Attendance.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.
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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.
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Who cites it
51 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Safety Climate and Safety Behavior and Outcomes: A Comprehensive Systematic Review in Healthcare From the Perspective of Staff and Patients.Human factors · 2026Pooled it
- Comparison of the outcomes of testicular torsion among children presenting during the Coronavirus Disease 2019 (COVID-19) pandemic versus the pre-pandemic period: A systematic review and meta-analysis.Journal of pediatric urology · 2022Pooled it
- Pooled it
- Consequences of Social Distancing Measures During the COVID-19 Pandemic First Wave on the Epidemiology of Children Admitted to Pediatric Emergency Departments and Pediatric Intensive Care Units: A Systematic Review.Frontiers in pediatrics · 2022Pooled it
- Intrahospital and Territorial Management of Violence Against Children in the Verbano-Cusio-Ossola Area, Northern Italy.International journal of environmental research and public health · 2026Article
- Navigating Care Amid Crisis: The Impact of the COVID-19 Pandemic on Eosinophilic Esophagitis Management in Canada.Journal of clinical medicine · 2025Article
- A comparison of referral and treatment patterns at child development institutes during the corona closures and pre-corona periods.Frontiers in public health · 2025Article
- Precocious puberty, pandemic and beyond.Pituitary · 2024Review
- A Comparative Analysis of Pediatric Emergency Department Admissions Before and During the COVID-19 Pandemic.Cureus · 2024Article
- Child protection concern in patients during the COVID-19 lockdown.Irish journal of medical science · 2023Article
- Pediatric Dog Bites to the Face May Have Been Less Severe During COVID-19 Pandemic: A Retrospective Cohort Study.Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons · 2023Article
- Article
- Six Diagnoses of Separation: Impact of COVID-19 on Pediatric Emergency Department Visits: A Multicenter Study.The Journal of emergency medicine · 2022Article
- The impact of COVID-19 on an Irish Emergency Department (ED): a cross-sectional study exploring the factors influencing ED utilisation prior to and during the pandemic from the patient perspective.BMC emergency medicine · 2022Article
- Covid-19 vaccine hesitancy and resistance amongst parents of children under 18 years of age in Ireland.Vaccine · 2022Article
- Impact on the incidence of suspected physical abuse in children under 24 months of age during a global pandemic: A multi-centre Irish regional retrospective cross-sectional analysis.The British journal of radiology · 2022Review
- Impact of COVID-19 on outpatient appointments in children and young people in England: an observational study.BMJ open · 2022Observational
- Presentations of children to emergency departments across Europe and the COVID-19 pandemic: A multinational observational study.PLoS medicine · 2022Observational
- Testicular torsion during the COVID-19 pandemic: Results of a multicenter study in northern Italy.Journal of pediatric urology · 2022Article
- Radiology referrals from the emergency department during the United Kingdom lockdown of 2020.Pediatric radiology · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
This study outlines the impact of COVID-19 on paediatric emergency department (ED) utilisation and assesses the extent of healthcare avoidance during each stage of the public health response strategy. Records from five EDs and one urgent care centre in Ireland, representing approximately 48% of national annual public paediatric ED attendances, are analysed to determine changes in characteristics of attendance during the three month period following the first reported COVID-19 case in Ireland, with reference to specific national public health stages. ED attendance reduced by 27-62% across all categories of diagnosis in the Delay phase and remained significantly below prior year levels as the country began Phase One of Reopening, with an incident rate ratio (IRR) of 0.58. The decrease was predominantly attributable to reduced attendance for injury and viral/viral induced conditions resulting from changed living conditions imposed by the public health response. However, attendance for complex chronic conditions also reduced and had yet to return to pre-COVID levels as reopening began. Attendances referred by general practitioners (GPs) dropped by 13 percentage points in the Delay phase and remained at that level. While changes in living conditions explain much of the decrease in overall attendance and in GP referrals, reduced attendance for complex chronic conditions may indicate avoidance behaviour and continued surveillance is necessary.
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