ArticleThe American journal of emergency medicine2021
The burden of the pandemic on the non-SARS-CoV-2 emergencies: A multicenter study.
Article in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Patterns of emergency dispatch calls and their changes during the COVID-19 pandemic in Ulaanbaatar, Mongolia.BMC emergency medicine · 2025Article
- Disruption to diabetes and hypertension care during the COVID-19 pandemic in Latin America and the Caribbean and mitigation approaches: a scoping review.BMC health services research · 2025Article
- [Impact of the COVID-19 pandemic on the number of otorhinolaryngology consultations].Revista medica del Instituto Mexicano del Seguro Social · 2025Observational
- Effects of the COVID-19 pandemic on thoracic sympathectomies performed on Brazil's Public Health System.Jornal vascular brasileiro · 2025Article
- Nationwide epidemiological analysis of surgically treated upper limb vascular trauma over 16 years in Brazil.Einstein (Sao Paulo, Brazil) · 2025Article
- Analysis of the functioning of temporary dialysis catheters in patients with COVID-19.Jornal vascular brasileiro · 2025Article
- Effect of the COVID-19 pandemic on emergency department utilization of computed tomography scans of appendicitis and diverticulitis.Emergency radiology · 2023Article
- Stroke patterns and outcomes during the second wave of COVID-19 pandemic: a cross-sectional study.Annals of medicine and surgery (2012) · 2023Article
- Impact of the COVID-19 outbreak on neurological consultation in an emergency department.Acta neurologica Belgica · 2023Article
- Computational and Experimental Approaches to Study the RNA Secondary Structures of RNA Viruses.Viruses · 2022Review
- Changes in hospital admissions and complications of acute appendicitis during the COVID-19 pandemic: A systematic review and meta-analysis.Health sciences review (Oxford, England) · 2022Review
- The impact of SARS-CoV-2 on respiratory syndromic and sentinel surveillance in Israel, 2020: a new perspective on established systems.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022Article
- The Adverse Impact of the COVID-19 Pandemic on Abdominal Emergencies: A Retrospective Clinico-Pathological Analysis.Journal of clinical medicine · 2021Article
- Sudden hearing loss and vestibular disorders during and before COVID-19 pandemic: An audiology tertiary referral centre experience.American journal of otolaryngologyArticle
- Article
- The impact of the COVID-19 pandemic on otolaryngologic emergency department visits at two major NYC hospital systems.American journal of otolaryngologyObservational
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGovernments have implemented social distancing interventions to curb the speed of SARS-CoV-2 spread and avoid hospital overload. SARS-CoV-2 social distancing interventions have modified several aspects of society, leading to a change in the emergency medical visit profile.
objectiveTo analyze the impact of COVID-19 and the resulting changes on the non-SARS-CoV-2 emergency medical care system profile.
methodsThis is a retrospective multicenter cross-sectional study evaluating medical consultations, urgent hospitalizations, and deaths in São Paulo, the largest city of the Americas. Changes in the medical visit profile according to demographic data and diagnoses were assessed. The change in mortality was also assessed.
resultsA total of 462,412 emergency medical visits were registered from January 2019 to July 2020. Of these emergency medical visits, only 4.7% (21,653) required hospitalization. Of all visits, 592 resulted in deaths, equivalent to 0.1% of the sample. There was a clear decreasing trend in the number of weekly emergency medical visits as social distancing was mandated by decree (Coef. -3733.13; 95% CI -4579.85 to -2886.42; p < 0.001). The number of medical visits for conditions such as trauma, abdominal pain, chest pain, and the common cold decreased (p<0.05). However, the number of medical visits for the following conditions did not change after the onset of the pandemic (p≥0.05): ureterolithiasis, acute appendicitis, acute cholecystitis, acute myocardial infarction, and stroke.
conclusionThe COVID-19 pandemic has changed the non-SARS-CoV-2 emergency profile. The overall number of emergency medical visits has reduced. The mortality of non-SARS-CoV-2 emergencies has not increased in São Paulo.
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