Evidence map›Paper›PMID 33450120›Full record

ArticleJournal of paediatrics and child health2021

Paediatric presentations to Christchurch Hospital Emergency Department during COVID-19 lockdown.

Roshit K Bothara, Aditya Raina, Brennan Carne, Tony Walls, Andrew McCombie, Michael W Ardagh, Laura R Joyce

Abstract read
In one paragraph

Article in Journal of paediatrics and child health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 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.

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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Review
  7. Article
  8. 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

7 authors.

Roshit K BotharaDepartment of Surgery, University of Otago, Christchurch, New Zealand.ORCID 0000-0003-0139-389X
Aditya RainaDepartment of Surgery, University of Otago, Christchurch, New Zealand.
Brennan CarneDepartment of Surgery, University of Otago, Christchurch, New Zealand.
Tony WallsDepartment of Paediatrics, Canterbury District Health Board (CDHB), Christchurch, New Zealand.
Andrew McCombieDepartment of Surgery, Canterbury District Health Board (CDHB), Christchurch, New Zealand.
Michael W ArdaghDepartment of Surgery, University of Otago, Christchurch, New Zealand.
Laura R JoyceDepartment of Surgery, University of Otago, Christchurch, New Zealand.ORCID 0000-0001-8113-3814

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe the variation in volumes and types of paediatric presentations to a tertiary emergency department in New Zealand during the national level 4 lockdown for COVID-19.

methodsA retrospective, comparative cohort study in Christchurch Hospital Emergency Department, New Zealand.

resultsThere was a 37% reduction in all emergency presentations during the 33-day lockdown period. Paediatric presentations reduced significantly more than non-paediatric presentations (53% paediatric vs. 34% non-paediatric, P < 0.00001). The decrease in both overall and paediatric presentations was significantly different than similar periods in 2019 and 2018 (P < 0.00001). The proportion of New Zealand European paediatric presentations during lockdown increased by 6.09% (P = 0.01), while Pacific peoples decreased by 3.36% (P = 0.005). The proportion of <1-year-old presentations increased by 5.56% (P = 0.001), while 11-15 years decreased by 7.91% (P = 0.0001). Respiratory-related paediatric presentations decreased by 30% and proportional decreased by 4.92% (P = 0.001).

conclusionThis study has identified a significant reduction in paediatric presentations to a tertiary emergency department in New Zealand during the national Alert Level 4 Lockdown for COVID-19. The proportional increase in the <1-year-old group may suggest a greater need for community-based child health services during the COVID-19 pandemic. Mental health support services may also need to adapt and expand to provide adequate psychological support for children during this crisis. Recognising the needs of these vulnerable groups will be critical during the ongoing COVID-19 pandemic in addition to informing response plans for similar events in the future.

Indexed as

COVID-19PandemicsChildCohort StudiesCommunicable Disease ControlEmergency Service, HospitalHospitalsHumansInfantNew ZealandRetrospective StudiesSARS-CoV-2COVID-19emergencypaediatricsSARS-CoV-2

Identifiers

PMID33450120
PMCPMC8014123

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.