Evidence map›Paper›PMID 39075379›Full record

ArticleBMC emergency medicine2024

Emergency department utilization before and during the COVID-19 pandemic among individuals with sickle cell disease.

Brandon K Attell, Allison P Plaxco, Mei Zhou, Jhaqueline Valle, Sarah L Reeves, Pooja N Patel, Krista Latta, Matthew P Smeltzer, Angela B Snyder

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Observational
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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

9 authors.

Brandon K AttellGeorgia Health Policy Center, Georgia State University, 55 Park Place NE, Atlanta, GA, 30303, USA. battell1@gsu.edu.
Allison P PlaxcoDivision of Epidemiology, Biostatistics, and Environmental Health, School of Public Health, University of Memphis, 222 Robison Hall, Memphis, TN, 38152, USA.
Mei ZhouGeorgia Health Policy Center, Georgia State University, 55 Park Place NE, Atlanta, GA, 30303, USA.
Jhaqueline ValleTracking California Program, Public Health Institute, 555 12th Street, Suite 600, Oakland, CA, 94607, USA.
Sarah L ReevesSusan B. Meister Child Health Evaluation and Research Center, Medical School, Department of Pediatrics, University of Michigan, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.
Pooja N PatelSusan B. Meister Child Health Evaluation and Research Center, Medical School, Department of Pediatrics, University of Michigan, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.
Krista LattaSusan B. Meister Child Health Evaluation and Research Center, Medical School, Department of Pediatrics, University of Michigan, 2800 Plymouth Road, Ann Arbor, MI, 48109, USA.
Matthew P SmeltzerDivision of Epidemiology, Biostatistics, and Environmental Health, School of Public Health, University of Memphis, 222 Robison Hall, Memphis, TN, 38152, USA.
Angela B SnyderGeorgia Health Policy Center, Georgia State University, 55 Park Place NE, Atlanta, GA, 30303, USA.

Funding

CDC HHS CDC-RFA-DD20-2003
6 · The paper itself

Abstract

backgroundThe emergency department (ED) is a vital source of healthcare for individuals living with sickle cell disease (SCD). Prior research indicates that during the COVID-19 pandemic some individuals with SCD avoided the ED for fear of acquiring COVID-19 or delayed visiting the ED by self-management of symptoms or pain crisis at home. The purpose of the current study was to understand ED utilization rates before and during the pandemic among individuals living with SCD.

methodsWe conducted a retrospective cohort study using population-based SCD surveillance systems in California, Georgia, Michigan, and Tennessee to assess the impact of the pandemic on ED utilization among people with SCD by (1) analyzing trends in monthly ED utilization from January 2019 - December 2020, with specific attention given to immediate changes at the onset of the pandemic; and (2) calculating changes in the volume of utilization by comparing the total ED visits made from March - December 2020 to the same period in 2019, both overall and by demographic characteristics.

resultsAcross all states, a decline in ED utilization during the onset of the pandemic was seen, with the largest decline seen in those under age 10. By December 2020, utilization rates were higher than their lowest observed month of April 2020, but had not fully returned to pre-COVID levels. During the pandemic, ED visits in each state decreased by as much as 25%, and the number of people with any ED utilization decreased by as much as 26%.

conclusionsThis study confirms and extends the existing literature related to the impact of the pandemic on healthcare utilization patterns in the US, in a unique population with increased healthcare needs.

Indexed as

Anemia, Sickle CellCOVID-19Emergency Service, HospitalAdolescentAdultChildChild, PreschoolFemaleHumansMaleMiddle AgedPandemicsPatient Acceptance of Health CareRetrospective StudiesSARS-CoV-2United StatesAcute careCOVID-19Emergency departmentHealthcare utilizationSickle cell diseaseTrends

Identifiers

PMID39075379
PMCPMC11287848

What OpenQuestion holds

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Registered trials

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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.