ArticleEinstein (Sao Paulo, Brazil)2021
Impact of the COVID-19 pandemic on emergency department visits: experience of a Brazilian reference center.
Article in Einstein (Sao Paulo, Brazil), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Impact of the COVID-19 pandemic on visits to the hospital emergency service in two hospitals in Spain, from March 14, 2020 to June 21, 2020.Internal and emergency medicine · 2023Article
- The impact of COVID-19 epidemic on emergency department visits of older patients in Taiwan.BMC geriatrics · 2023Article
- Scorpion envenomation in Brazil: Current scenario and perspectives for containing an increasing health problem.PLoS neglected tropical diseases · 2023Review
- Demand for emergency services during the COVID-19 pandemic and disease burden: a case study in Portugal.Frontiers in public health · 2023Observational
- Changes in the clinico-functional characteristics of stroke patients in the acute phase during the COVID-19 pandemic.Einstein (Sao Paulo, Brazil) · 2023Article
- COVID-19 pneumonia assessed at a private hospital, a field hospital, and a public-referral hospital: population analysis, chest computed tomography findings, and outcomes.Frontiers in public health · 2023Observational
- The association of the COVID-19 outbreak with in-hospital mortality: A single-centre study from Indonesia.Clinical epidemiology and global healthArticle
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7 authors.
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Abstract
objectiveTo analyze the impact of COVID-19 on emergency department metrics at a large tertiary reference hospital in Brazil.
methodsA retrospective analysis of consecutive emergency department visits, from January 1, 2020, to November 21, 2020, was performed and compared to the corresponding time frame in 2018 and 2019. The volume of visits and patients' demographic and clinic characteristics were compared. All medical conditions were included, except confirmed cases of COVID-19.
resultsA total of 138,138 emergency department visits occurred during the study period, with a statistically significant (p<0.01) reduction by 52% compared to both 2018 and 2019. This decrease was more pronounced for pediatric visits - a drop by 71% in comparison to previous years. Regarding clinical presentation, there was a decrease of severe cases by 34.7% and 37.6%, whereas mild cases decreased by 55.2% and 56.2% when comparing 2020 to 2018 and 2019, respectively. A 30% fall in the total volume of hospital admission from emergency department patients was observed during the study period, but accompanied by a proportional increase in monthly admission rates since April 2020.
conclusionThe COVID-19 pandemic led to a 52% fall in attendance at our emergency department for other conditions, along with a proportional increase in hospital admission rates of COVID-19 patients. Healthcare providers should raise patient awareness not to delay seeking medical treatment of severe conditions that require care at the emergency department.
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