Evidence map›Paper›PMID 33023692›Full record

Observational studyDisaster medicine and public health preparedness2021

Effects of Hurricanes on Emergency Department Utilization: An Analysis Across 7 US Storms.

Kevin C Heslin, Marguerite L Barrett, Molly Hensche, Gary Pickens, Jeanne S Ringel, Zeynal Karaca, Pamela L Owens

Abstract readObservational Study
In one paragraph

Observational study in Disaster medicine and public health preparedness, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Effect of the COVID-19 Pandemic on Musculoskeletal Care in the Emergency Room.Disaster medicine and public health preparedness · 2022
    Article
  6. Article
  7. Review
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.

Kevin C HeslinAgency for Healthcare Research and Quality, Rockville, Maryland.
Marguerite L BarrettML Barrett Inc, Del Mar, California.
Molly HenscheIBM Watson Health, Santa Barbara, California.
Gary PickensIBM Watson Health, Santa Barbara, California.ORCID 0000-0003-4689-185X
Jeanne S RingelRAND Corporation, Santa Monica, California.
Zeynal KaracaAgency for Healthcare Research and Quality, Rockville, Maryland.
Pamela L OwensAgency for Healthcare Research and Quality, Rockville, Maryland.ORCID 0000-0002-9905-9664

Funding

Intramural AHRQ HHS HS999999
6 · The paper itself

Abstract

objectiveEmergency departments (EDs) are critical sources of care after natural disasters such as hurricanes. Understanding the impact on ED utilization by subpopulation and proximity to the hurricane's path can inform emergency preparedness planning. This study examines changes in ED utilization for residents of 344 counties after the occurrence of 7 US hurricanes between 2005 and 2016.

methodsThis retrospective observational study used ED data from the Healthcare Cost and Utilization Project State Inpatient Databases and State Emergency Department Databases. ED utilization rates for weeks during and after hurricanes were compared with pre-hurricane rates, stratified by the proximity of the patient county to the hurricane path, age, and disease category.

resultsThe overall population rate of weekly ED visits changed little post-hurricane, but rates by disease categories and age demonstrated varying results. Utilization rates for respiratory disorders exhibited the largest post-hurricane increase, particularly 2-3 weeks following the hurricane. The change in population rates by disease categories and age tended to be larger for people residing in counties closer to the hurricane path.

conclusionsChanges in ED utilization following hurricanes depend on disease categories, age, and proximity to the hurricane path. Emergency managers could incorporate these factors into their planning processes.

Indexed as

Civil DefenseCyclonic StormsEmergency Service, HospitalHealth Care CostsHumansRetrospective Studiesdisaster planningemergency servicehospitalhurricane

Identifiers

PMID33023692
PMCPMC8024393

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.