Evidence map›Paper›PMID 33184025›Full record

ArticleThe American journal of emergency medicine2020

The influence of coronavirus disease 2019 on emergency department visits in Nanjing, China: A multicentre cross-sectional study.

Hao Sun, Keqin Liu, Meng Li, Shaowen Tang, Andrew A Monte, Jun Wang, Shinan Nie, Qinglin Rui, Wenge Liu, Haidong Qin and 22 more

Abstract readMulticenter Study
In one paragraph

Article in The American journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
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  8. Observational
  9. 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

32 authors.

Hao SunDepartment of Emergency, Jiangsu Province Hospital, The First Affiliated Hospital of Nanjing Medical University, 300 Guang Zhou Road, Nanjing, Jiangsu, 210029, People's Republic of China.
Keqin LiuDepartment of Emergency, Jiangsu Provincial Second Chinese Medicine Hospital, The Second Affiliated Hospital of Nanjing University of Chinese Medicine, 23 Nanhu Road, Nanjing, Jiangsu 210002, People's Republic of China.
Meng LiDepartment of Emergency, Jiangsu Province Hospital, The First Affiliated Hospital of Nanjing Medical University, 300 Guang Zhou Road, Nanjing, Jiangsu, 210029, People's Republic of China.
Shaowen TangDepartment of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, 818 Tianyuandong Road, Nanjing, Jiangsu, 211166, People's Republic of China.
Andrew A MonteDepartment of Emergency Medicine, University of Colorado School of Medicine Leprino Building, 7th Floor Campus Box B-215, 12401 E. 17th Avenue, Aurora, CO 80045, United States; Nanjing Medical University, 818 Tianyuandong Road, Nanjing, Jiangsu, 211166, People's Republic of China.
Jun WangDepartment of Emergency, Affiliated Drum Tower Hospital of Nanjing University Medical School, 321 Zhongshan Road, Nanjing, Jiangsu 210008, People's Republic of China.
Shinan NieDepartment of Emergency, Jinling Hospital, Medical School of Nanjing University, 305 Zhongshan East Road, Nanjing, Jiangsu 211002, People's Republic of China.
Qinglin RuiDepartment of Emergency, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, 155 Hanzhong Road, Nanjing, Jiangsu, 210029, People's Republic of China.
Wenge LiuDepartment of Emergency, Zhongda Hospital Southeast University, 87 Dingjiaqiao, Nanjing, Jiangsu 210009, People's Republic of China.
Haidong QinDepartment of Emergency, Nanjing First Hospital, Nanjing Medical University, 68 Changle Road, Nanjing, Jiangsu 210006, People's Republic of China.
Xiao TanDepartment of Emergency, The Second Affiliated Hospital of Nanjing Medical University, 121 Jiangjiayuan Road, Nanjing, Jiangsu 210011, People's Republic of China.
Haibin NiDepartment of Emergency, Jiangsu Province Hospital on Integration of Chinese and Western Medicine, 100, Shizi Street, Nanjing, Jiangsu 210028, People's Republic of China.
Wenxin YangDepartment of Emergency, Eastern Theater General Hospital, Qinhuai District Medical Area 34, 34 Biao, Yanggongjing Street, Nanjing, Jiangsu 210002, People's Republic of China.
Congjian ZhuDepartment of Emergency, Nanjing Tongren Hospital, School of Medicine, Southeast University Nanjing, 2007, Jiyin Road, Nanjing, Jiangsu 211102, People's Republic of China.
Runhua YangDepartment of Emergency, Nanjing Integrated Traditional Chinese and Western Medicine Hospital, 179, Xiao Lin-Wei, Nanjing, Jiangsu 210014, People's Republic of China.
Tianhao YuDepartment of Emergency, Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264 Guangzhou Road, Nanjing, Jiangsu 210029, People's Republic of China.
Shengwei WangDepartment of Emergency, Nanjing Chest Hospital, 215, Guangzhou Road, Nanjing, Jiangsu 210029, People's Republic of China.
Hao JiangDepartment of Emergency, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, 1 Zhongfu Road, Nanjing, Jiangsu 210003, People's Republic of China.
Xiaofeng ChenDepartment of Emergency, The 454th Hospital of PLA, 1, Malu Street, Nanjing, Jiangsu 210002, People's Republic of China.
Wei ZhangDepartment of Emergency, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, 157 Daming Road, Nanjing, Jiangsu 210022, People's Republic of China.
Yi ZhuDepartment of Emergency, Jiangsu Province Official Hospital, 30, Luojia Road, Nanjing, Jiangsu, People's Republic of China, 210024.
Huatou ZhaoDepartment of Emergency, People's Hospital of Gaochun, 9, Chunzhong Road, Gaochun, Nanjing, Jiangsu 211300, People's Republic of China.
Shiyu YangDepartment of Emergency, Nanjing BENQ Medical Center, 71, Hexi Road, Nanjing, Jiangsu, People's Republic of China, 210019.
Kejin YinDepartment of Emergency, Nanjing Jiangbei People's Hospital, 552, Ge-guan Road, Nanjing, Jiangsu 220000, People's Republic of China.
Danbing ShaoDepartment of Emergency, Sir Run Run Hospital, Nanjing Medical University, 109 Longmian Road, Nanjing, Jiangsu 211166, People's Republic of China.
Liang XiaoDepartment of Emergency, Nanjing Luhe People's Hospital, 28, Yan'an Road, Nanjing, Jiangsu 211500, People's Republic of China.
Zhengwei ChenDepartment of Emergency, Nanjing Pukou Central Hospital, 166, Shanghe Street, Nanjing, Jiangsu 211800, People's Republic of China.
Weizhong YuanDepartment of Emergency, Nanjing Meishan Hospital, 505, Xiongfeng Road, Nanjing, Jiangsu 210039, People's Republic of China.
Dongdong HuDepartment of Emergency, The Pukou Hospital of Nanjing, The Fourth Affiliated Hospital of Nanjing Medical University, 18 Puyuan Road, Nanjing, Jiangsu 210031, People's Republic of China.
Xiaoyong WanDepartment of Emergency, Nanjing Central Hospital, 116, Chengxian Street, Nanjing, Jiangsu 210018, People's Republic of China.
Lanfu WuDepartment of Emergency, Nanjing Yangzi Hospital, 21, Pingdingshan Road, Nanjing, Jiangsu 210048, People's Republic of China.
Jinsong ZhangDepartment of Emergency, Jiangsu Province Hospital, The First Affiliated Hospital of Nanjing Medical University, 300 Guang Zhou Road, Nanjing, Jiangsu, 210029, People's Republic of China. Electronic address: zhangjso@njmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInfluenza has been linked to the crowding in emergency departments (ED) across the world. The impact of the Coronavirus Disease 2019 (COVID-19) pandemic on China EDs has been quite different from those during past influenza outbreaks. Our objective was to determine if COVID-19 changed ED visit disease severity during the pandemic.

methodsThis was a retrospective cross sectional study conducted in Nanjing, China. We captured ED visit data from 28 hospitals. We then compared visit numbers from October 2019 to February 2020 for a month-to-month analysis and every February from 2017 to 2020 for a year-to-year analysis. Inter-group chi-square test and time series trend tests were performed to compare visit numbers. The primary outcome was the proportion of severe disease visits in the EDs.

resultsThrough February 29

conclusionThe COVID-19 outbreak has been associated with decreases in ED visits in Nanjing, China, but increases in the proportion of severe ED visits.

Indexed as

Severity of Illness IndexChinaCOVID-19Critical IllnessCross-Sectional StudiesEmergency Service, HospitalHumansPandemicsRetrospective StudiesSARS-CoV-2CoronavirusCovid-19ED visit volumeEmergency medicinePandemic

Identifiers

PMID33184025
PMCPMC7415345

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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.