Evidence map›Paper›PMID 33182696›Full record

Observational studyInternational journal of environmental research and public health2020

Analysis of Emergency Department Visits and Hospital Activity during Influenza Season, COVID-19 Epidemic, and Lockdown Periods in View of Managing a Future Disaster Risk: A Multicenter Observational Study.

Enrique Casalino, Christophe Choquet, Donia Bouzid, Olivier Peyrony, Sonja Curac, Eric Revue, Jean-Paul Fontaine, Patrick Plaisance, Anthony Chauvin, Daniel Aiham Ghazali

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study 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. It is linked to trial NCT05126641 (Analysis of Emergency Department Visits According to Incidence of Covid-19 in French Metropolis), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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.

NCT05126641 completednot on this map

Analysis of Emergency Department Visits According to Incidence of Covid-19 in French Metropolis : a One-year Multicenter Observational Retrospective Study.

TypeobservationalSponsorCentre Hospitalier de RoubaixRan2020 to 2021Enrolled400,000ConditionsEmergency Service, Hospital, Epidemiology
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Patients with Musculoskeletal Disorders Presenting to the Emergency Department: The COVID-19 Lesson.International journal of environmental research and public health · 2022
    Article
  9. Observational
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Observational
  15. Effects of Relaxed Lockdown on Pediatric ER Visits during SARS-CoV-2 Pandemic in Italy.International journal of environmental research and public health · 2021
    Article
  16. Article
  17. 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

10 authors.

Enrique CasalinoEmergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, 75018 Paris, France.ORCID 0000-0002-4352-6729
Christophe ChoquetEmergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, 75018 Paris, France.
Donia BouzidEmergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, 75018 Paris, France.
Olivier PeyronyStudy Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France.ORCID 0000-0001-6831-0054
Sonja CuracStudy Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France.
Eric RevueStudy Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France.
Jean-Paul FontaineStudy Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France.
Patrick PlaisanceStudy Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France.
Anthony ChauvinStudy Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France.ORCID 0000-0001-8819-0061
Daniel Aiham GhazaliEmergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, 75018 Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ED-visits and through-ED admissions to medical/surgical wards (MSW) and intensive care unit (ICU) during influenza, COVID-19 and lockdown periods were evaluated in a four-hospital prospective observational study from November 2018 to March 2020. ED visit characteristics and main diagnostic categories were assessed. Analysis of 368,262 ED-visits highlighted a significantly increasing trend in ED-visits during influenza followed by a significantly decreasing trend after lockdown. For MSW-admissions, a pattern of growth during influenza was followed by a fall that began during COVID-19 pandemic and intensified during the lockdown. For ICU-admissions, a significant rise during the COVID-19 pandemic was followed by diminution during the lockdown period. During lockdown, significantly diminishing trends were shown for all diagnostic categories (between -40.8% and -73.6%), except influenza-like illness/COVID cases (+31.6%), Pulmonary embolism/deep vein thrombosis (+33.5%) and frequent users (+188.0%). The present study confirms an increase in demand during the influenza epidemic and during the initial phase of the COVID-19 epidemic, but a drop in activity during the lockdown, mainly related to non-COVID conditions. Syndromic surveillance of ILI cases in ED is a tool for monitoring influenza and COVID-19, and it can predict ED activity and the need for MSW and ICU beds.

Indexed as

BetacoronavirusCoronavirus InfectionsCOVID-19Emergency Service, HospitalFranceHospitalizationHumansInfluenza, HumanPandemicsPneumonia, ViralProspective StudiesSARS-CoV-2COVID-19emergency department activityhospital admissionslockdownseasonal influenzatime series analysis

Identifiers

PMID33182696
PMCPMC7698314

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.