ArticleHealth policy (Amsterdam, Netherlands)2020
When fear backfires: Emergency department accesses during the Covid-19 pandemic.
Article in Health policy (Amsterdam, Netherlands), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Improving the Emotional Distress and the Experience of Hospitalization in Children and Adolescent Patients Through Animal Assisted Interventions: A Systematic Review.Frontiers in psychology · 2022Pooled it
- Applying Sydney Triage to Admission Risk Tool (START) to improve patient flow in emergency departments: a multicentre randomised, implementation study.BMC emergency medicine · 2024Trial
- The impact of the COVID-19 pandemic on emergency department visits in region Stockholm: a population-based study between 2018-2021.BMC public health · 2026Article
- The environmental impacts of surgical care pathways: same-day-discharge versus enhanced recovery following minimally invasive colectomy and stoma reversal.Surgical endoscopy · 2026Article
- Adaptation of emergency surgical care during successive COVID-19 waves: a single-center analysis of surgically treated acute appendicitis.BMC surgery · 2026Article
- COVID-19 and psychiatric disorders among young people: a cross-sectional study.International clinical psychopharmacology · 2025Article
- Rising out-of-hospital mortality in Canada during 2020‒2022: A striking impact observed among young adults.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Emergency Departments in Contemporary Healthcare: Are They Still for Emergencies? An Analysis of over 1 Million Attendances.Healthcare (Basel, Switzerland) · 2024Article
- Development and validation of a nomogram for assessing comorbidity and frailty in triage: a multicentre observational study.Internal and emergency medicine · 2024Observational
- Triage-clinical reasoning on emergency nursing competency: a multiple linear mediation effect.BMC nursing · 2024Article
- Impact of the early phase of the COVID-19 pandemic on emergency department-to-intensive care unit admissions in Korea: an interrupted time-series analysis.BMC emergency medicine · 2024Article
- Acute care pathway assessed through performance indicators during the COVID-19 pandemic in OECD countries (2020-2021): a scoping review.BMC emergency medicine · 2024Article
- Ensuring sexual and reproductive healthcare services amidst a pandemic: Experiences from health workers in Lima, Peru.PLOS global public health · 2024Article
- Impact of the COVID-19 Pandemic on Inpatient Utilization for Acute Neurologic Disease.The Neurohospitalist · 2024Article
- [Characterization of infectious conjunctivitis in a fourth-level care center, Bogota, Colombia].Revista de salud publica (Bogota, Colombia) · 2023Article
- Epidemiology of pediatric trauma and fractures during and beyond the COVID-19 pandemic.Journal of children's orthopaedics · 2023Article
- Impact of the COVID-19 pandemic on medical-seeking behavior in older adults by comparing the presenting complaints of the emergency department visits.BMC emergency medicine · 2023Article
- Article
- The Impact of the COVID-19 Pandemic on Hospitalization Rates due to Prosthetic Valve Thrombosis.The journal of Tehran Heart Center · 2023Article
- Demand for emergency services during the COVID-19 pandemic and disease burden: a case study in Portugal.Frontiers in public health · 2023Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe increase in access to Emergency Departments (ED) worldwide causes inefficiencies, but also signals its importance. The Coronavirus (Covid-19) outbreak allows to study the reactions of patients to the news about the spreading of the infection, which may have generated the fear that ED was no longer safe.
methodsWe study access to ED of a large teaching hospital in Brescia - one of the most hit provinces in Italy by Covid-19 - during the pandemic (from the announcement of the first cases to the explosion of the pandemic, to months after end of the acute phase) to study how patients reacted to the news that ED could no longer be a safe place. We analyse triage code, mode of arrival to ED, and accesses related to chest and abdominal pain, to evaluate who was discouraged most.
resultsAccesses have drastically reduced immediately after the news of the first contagion. During the lockdown accesses and admissions to hospital ward have decreased; this may mean that some patients may have suffered reduced health or increased mortality risks because of this decision. At the end of June accesses to ED and admissions to hospital ward are still lower than usual. DISCUSSION: Fear of contagion and appeals not to use ED directly by Covid-19 patients may have discouraged access also for pressing health need.
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