ArticleBMC pediatrics2020
Impact of COVID-19 on pediatric emergencies and hospitalizations in Singapore.
Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of the COVID-19 Pandemic on Pediatric Emergency Medicine: A Systematic Review.Medicina (Kaunas, Lithuania) · 2022Pooled it
- Child Maltreatment During the COVID-19 Pandemic: A Systematic Rapid Review.Pediatric clinics of North America · 2021Pooled it
- COVID-19 pandemic: impact of lockdown measures on presentations to a Singapore tertiary care hospital emergency department.Singapore medical journal · 2026Article
- Caregiver experiences in an Asian paediatric emergency department during the COVID-19 pandemic.Singapore medical journal · 2026Article
- Pediatric Perspectives on Palliative Care in the Neurocritical Care Unit.Neurocritical care · 2024Review
- Enhancing Emergency Department Management: A Data-Driven Approach to Detect and Predict Surge Persistence.Healthcare (Basel, Switzerland) · 2024Article
- Pediatric trauma during the COVID-19 lockdown: caregiver abuse and self-harm in a vulnerable population.Pediatric surgery international · 2024Article
- Characteristics and influencing factors of caregivers' healthcare preferences for young children under COVID-19 lockdown: a cross-sectional study in Shanghai, China.BMC primary care · 2024Article
- Sufficient sleep and its contributing factors among high school students during the COVID-19 pandemic: results from adolescent behaviors and experiences survey.Frontiers in public health · 2024Article
- Characteristics and spectrum changes of PICU cases during the COVID-19 pandemic: a retrospective analysis.Frontiers in pediatrics · 2024Article
- COVID-19 lockdown effect on healthcare utilization and in-hospital mortality in children under 5 years in Cape Town, South Africa: a cross-sectional study.Journal of tropical pediatrics · 2023Article
- Mental Health in the Post-Lockdown Scenario: A Scientometric Investigation of the Main Thematic Trends of Research.International journal of environmental research and public health · 2023Review
- Changes in emergency department utilisation in Germany before and during different phases of the COVID-19 pandemic, using data from a national surveillance system up to June 2021.BMC public health · 2023Article
- Clinical and Forensic Aspects of the Management of Child Abuse: The Experience of the Paediatric Emergency Department in Novara, North-West Italy.International journal of environmental research and public health · 2023Article
- COVID-19 and family violence: A rapid review of literature published up to 1 year after the pandemic declaration.EClinicalMedicine · 2022Review
- Article
- The year 2021 in COVID-19 pandemic in children.Italian journal of pediatrics · 2022Review
- The silent crisis of child abuse in the COVID-19 pandemic: A scoping review.Health science reports · 2022Article
- Presentations of children to emergency departments across Europe and the COVID-19 pandemic: A multinational observational study.PLoS medicine · 2022Observational
- Impact of COVID-19 on paediatric admissions to a Chinese hospital: a single-centre retrospective chart review.BMJ open · 2022Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCoronavirus disease 2019 (COVID-19) has impacted the provision of health services in all specialties. We aim to study the impact of COVID-19 on the utilization of pediatric hospital services including emergency department (ED) attendances, hospitalizations, diagnostic categories and resource utilization in Singapore.
methodsWe performed a retrospective review of ED attendances and hospital admissions among children < 18 years old from January 1st to August 8th 2020 in a major pediatric hospital in Singapore. Data were analyzed in the following time periods: Pre-lockdown (divided by the change in Disease Outbreak Response System Condition (DORSCON) level), during-lockdown and post-lockdown. We presented the data using proportions and percentage change in mean counts per day with the corresponding 95% confidence intervals (CIs).
resultsWe attended to 58,367 children with a mean age of 5.1 years (standard deviation, SD 4.6). The mean ED attendance decreased by 331 children/day during lockdown compared to baseline (p < 0.001), attributed largely to a drop in respiratory (% change - 87.9, 95% CI - 89.3 to - 86.3, p < 0.001) and gastrointestinal infections (% change - 72.4, 95%CI - 75.9 to - 68.4, p < 0.001). Trauma-related diagnoses decreased at a slower rate across the same periods (% change - 40.0, 95%CI - 44.3 to - 35.3, p < 0.001). We saw 226 children with child abuse, with a greater proportion of total attendance seen post-lockdown (79, 0.6%) compared to baseline (36, 0.2%) (p < 0.001). In terms of ED resource utilization, there was a decrease in the overall mean number of procedures performed per day during the lockdown compared to baseline, driven largely by a reduction in blood investigations (% change - 73.9, 95%CI - 75.9 to - 71.7, p < 0.001).
conclusionsWe highlighted a significant decrease in infection-related presentations likely attributed to the lockdown and showed that the relative proportion of trauma-related attendances increased. By describing the impact of COVID-19 on health services, we report important trends that may provide guidance when planning resources for future pandemics.
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