ArticleAnnals of emergency medicine2021
Emergency Department Utilization for Emergency Conditions During COVID-19.
Article in Annals of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
What it found
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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.
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Who cites it
34 citing papers in PubMed.
- Palliative Care Initiated in the Emergency Department: A Cluster Randomized Clinical Trial.JAMA · 2025Trial
- Impact of the COVID-19 pandemic on tuberculosis epidemiology in California, Florida, New York, and Texas.Annals of the American Thoracic Society · 2026Article
- Stranded in the emergency department: an analysis of boarding trends in older adults in the United States.Health affairs scholar · 2025Article
- Changes in Veterans Health Administration Emergency Department Visits During Two Years of COVID-19.The western journal of emergency medicine · 2025Observational
- Emergency Department Triage Accuracy and Delays in Care for High-Risk Conditions.JAMA network open · 2025Article
- Emergency Department Utilization for Postpartum Behavioral Health Problems and Assault Injury During the COVID-19 Pandemic.Journal of women's health (2002) · 2025Article
- High-Deductible Health Plans and Receipt of Guideline-Concordant Care for Adults With Chronic Illness.JAMA network open · 2025Article
- Downstream Emergency Department and Hospital Utilization Comparably Low Following In-Person Versus Telemedicine Primary Care for High-Risk Conditions.Journal of general internal medicine · 2024Observational
- Frailty Explains Variation in Emergency Department Use for Older Veterans During the COVID-19 Pandemic.Journal of geriatric emergency medicine · 2024Article
- Pragmatic Emergency Department Intervention Reducing Default Quantity of Opioid Tablets Prescribed.The western journal of emergency medicine · 2024Article
- The Clinical Emergency Data Registry: Structure, Use, and Limitations for Research.Annals of emergency medicine · 2024Article
- Acute care pathway assessed through performance indicators during the COVID-19 pandemic in OECD countries (2020-2021): a scoping review.BMC emergency medicine · 2024Article
- Article
- An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments.Annals of emergency medicine · 2023Observational
- National trends in emergency conditions through the Omicron COVID-19 wave in commercial and Medicare Advantage enrollees.Journal of the American College of Emergency Physicians open · 2023Article
- Number needed to vaccinate with a COVID-19 booster to prevent a COVID-19-associated hospitalization during SARS-CoV-2 Omicron BA.1 variant predominance, December 2021-February 2022, VISION Network: a retrospective cohort study.Lancet regional health. Americas · 2023Article
- Impact of COVID-19 outbreak on acute gallbladder disease in the emergency department.Clinical and experimental emergency medicine · 2023Article
- Evaluation of the Emergency Severity Index in US Emergency Departments for the Rate of Mistriage.JAMA network open · 2023Article
- The first wave of COVID-19 and mental distress of physician residents in Brazil: a comparison between two cohorts.Human resources for health · 2023Article
- Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugal: An interrupted time series analysis until July 2021.Journal of the American College of Emergency Physicians open · 2023Article
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Authors and funding
7 authors.
Funding
Abstract
STUDY
objectiveWe use a national emergency medicine clinical quality registry to describe recent trends in emergency department (ED) visitation overall and for select emergency conditions.
methodsData were drawn from the Clinical Emergency Department Registry, including 164 ED sites across 35 states participating in the registry with complete data from January 2019 through November 15, 2020. Overall ED visit counts, as well as specific emergency medical conditions identified by International Classification of Diseases, Tenth Revision, Clinical Modification code (myocardial infarction, cerebrovascular accident, cardiac arrest/ventricular fibrillation, and venous thromboembolisms), were tabulated. We plotted biweekly visit counts overall and across specific geographic regions.
resultsThe largest declines in visit counts occurred early in the pandemic, with a nadir in April 46% lower than the 2019 monthly average. By November, overall ED visit counts had increased, but were 23% lower than prepandemic levels. The proportion of all ED visits that were for the select emergency conditions increased early in the pandemic; however, total visit counts for acute myocardial infarction and cerebrovascular disease have remained lower in 2020 compared with 2019. Despite considerable geographic and temporal variation in the trajectory of the coronavirus disease 2019 outbreak, the overall pattern of ED visits observed was similar across regions and time.
conclusionThe persistent decline in ED visits for these time-sensitive emergency conditions raises the concern that coronavirus disease 2019 may continue to impede patients from seeking essential care. Efforts thus far to encourage individuals with concerning signs and symptoms to seek emergency care may not have been sufficient.
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