Evidence map›Paper›PMID 35182918›Full record

ArticleThe American journal of emergency medicine2022

Temporal associations between emergency department and telehealth volumes during the COVID-19 pandemic: A time-series analysis from 2 academic medical centers.

Elaine M Reno, Benjamin H Li, Morgan Eutermoser, Christopher B Davis, Jason S Haukoos, Bradley D Shy

Open access · greenAbstract read
In one paragraph

Article in The American journal of emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 49% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. 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

6 authors at 1 institution in 1 country.

Elaine M RenoDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, United States of America. Electronic address: Elaine.reno@cuanschutz.edu.
Benjamin H LiDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, United States of America; Department of Emergency Medicine, Denver Health Medical Center, Denver, CO, United States of America.
Morgan EutermoserDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, United States of America; Department of Emergency Medicine, Denver Health Medical Center, Denver, CO, United States of America.
Christopher B DavisDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, United States of America.
Jason S HaukoosDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, United States of America; Department of Emergency Medicine, Denver Health Medical Center, Denver, CO, United States of America; Department of Epidemiology, Colorado School of Public Health, Aurora, CO, United States of America.
Bradley D ShyDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, United States of America; Department of Emergency Medicine, Denver Health Medical Center, Denver, CO, United States of America.
University of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic compelled healthcare systems to rapidly adapt to changing healthcare needs as well as identify ways to reduce COVID transmission. The relationship between pandemic-related trends in emergency department (ED) visits and telehealth urgent care visits have not been studied.

methodsWe performed an interrupted time series analysis to evaluate trends between ED visits and telehealth urgent medical care visits at two urban healthcare system in Colorado. We performed pairwise comparisons between baseline versus each COVID-19 surge and all three surges combined, for both ED and telehealth encounters at each site and used Wilcoxon rank sum test to compare median values.

resultsDuring the study period, 595,350 patient encounters occurred. We saw ED visits decline in correlation with rising telehealth visits during each COVID surge.

conclusionsDuring initial COVID surges, ED visits declined while telehealth visits rose in inverse correlation with falling ED visits, suggesting that some patients shifted their preferred location for clinical care. As EDs cope with future staffing during the ongoing COVID pandemic, telehealth represents an opportunity for emergency physicians and a means to align patients desires for virtual care with ED volumes and staffing.

Indexed as

COVID-19TelemedicineAcademic Medical CentersEmergency Service, HospitalHumansPandemicsRetrospective StudiesSARS-CoV-2COVID-19Emergency department staffingPatient visitsQuasi-experimentTelehealthTime seriesTrends

Identifiers

PMID35182918
PMCPMC8817426
OpenAlexW4210474344

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.