Evidence map›Paper›PMID 34012836›Full record

ArticleTranslational pediatrics2021

Changes in pediatric healthcare utilization in Hunan Province, China, during the COVID-19 pandemic: a multi-center cross-sectional study.

Haipeng Yan, Xun Li, Xiulan Lu, Saizhen Zeng, Yuanhong Yuan, Xian Hu, Yimin Zhu, Zhenghui Xiao

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Translational pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 20% of its field
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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

8 authors at 4 institutions in 1 country.

Haipeng YanDepartment of Pediatric Emergency Center, Hunan Children's Hospital, University of South China, Changsha, China.
Xun LiPediatrics Research Institute of Hunan Province, Hunan Children's Hospital, University of South China, Changsha, China.
Xiulan LuDepartment of Pediatric Emergency Center, Hunan Children's Hospital, University of South China, Changsha, China.
Saizhen ZengHunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China.
Yuanhong YuanDepartment of Pediatric Emergency Center, Hunan Children's Hospital, University of South China, Changsha, China.
Xian HuHunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China.
Yimin ZhuEmergency Medicine Institute of Hunan Province, Hunan Provincial People's Hospital. The First Affiliated Hospital of Hunan Normal University, Changsha, China.
Zhenghui XiaoDepartment of Pediatric Emergency Center, Hunan Children's Hospital, University of South China, Changsha, China.
Hunan Children's Hospital · CNHunan Normal University · CNUniversity of South China · CNHunan Provincial People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) pandemic brought remarkable disruption to the ways in which healthcare was delivered. This study aimed to examine changes in pediatric healthcare utilization in Hunan Province, China, during the COVID-19 pandemic.

methodsAn electronic survey was conducted among 142 hospitals in Hunan Province, China. Using data from January 1 to April 30, 2019 as a reference, the changes in the number of visits for different types of pediatric healthcare between January 1 and April 30, 2020 were calculated. Changes in the number of admissions for infections and injuries were also evaluated.

resultsThe total number of pediatric healthcare presentations decreased by 53.3% in the first four months of 2020. The most remarkable reductions were observed in the utilization of emergency room (ranging from -45.7% to -94.9% among three hospital levels) and observation room (-55.8% to -77.7%); neonatal inpatient care experienced the smallest decreases (-21.2% to -25.5%). Approximately 85% of the total reduction in the number of pediatric inpatient admissions was attributable to the reduction in admissions for infections. A 13.3% increase in the number of admissions for injuries was observed among third-level hospitals.

conclusionsThe utilization of all types of pediatric healthcare services in Hunan Province declined markedly after the outbreak of COVID-19. The reasons, consequences, and responses to these changes should be addressed in future studies and actions.

Indexed as

Coronavirus disease 2019 (COVID-19)hospital levelsinfectionpediatric healthcareservice utilization

Identifiers

PMID34012836
PMCPMC8107880
OpenAlexW3157465536

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.