Evidence map›Paper›PMID 39417593›Full record

ArticlePediatrics international : official journal of the Japan Pediatric Society

Impact of social distancing policy on pediatric emergency ophthalmic severity during the coronavirus disease 2019 pandemic.

Hyung Kyoo Woo, Seung Ah Chung, Hyelynn Jeon, Bumhee Park, Jung Heon Kim

Abstract read
In one paragraph

Article in Pediatrics international : official journal of the Japan Pediatric Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

5 authors.

Hyung Kyoo WooDepartment of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0009-0008-2695-9267
Seung Ah ChungDepartment of Ophthalmology, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0003-1559-7527
Hyelynn JeonOffice of Biostatistics, Medical Research Collaborating Center, Ajou Research Institute for Innovative Medicine, Ajou University Medical Center, Suwon, Korea.ORCID https://orcid.org/0009-0005-8990-7083
Bumhee ParkOffice of Biostatistics, Medical Research Collaborating Center, Ajou Research Institute for Innovative Medicine, Ajou University Medical Center, Suwon, Korea.ORCID https://orcid.org/0000-0002-5271-1571
Jung Heon KimDepartment of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0001-7303-0241

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the impact of social distancing policies (SDPs) on ophthalmic severity in children who underwent emergency ophthalmic referrals during the coronavirus disease 2019 pandemic period.

methodsWe reviewed all children with ophthalmic referrals in a single academic hospital emergency department during the period from February 2017 to December 2019 (prepandemic) or February 2020 to December 2022 (pandemic). Baseline features, diagnosis-based severity, and outcomes were compared between the two periods. The Government Response Stringency Index (GRSI), which ranges from 0 to 100, was used as a surrogate for the intensity of SDPs during the pandemic. Poisson regression was used to quantify the association of the GRSI with the severity.

resultsAmong 1074 children with ophthalmic referrals, 437 (40.7%) visited during the pandemic. This was 31.4% lower than that during the prepandemic period. In numbers, pandemic-related declines were more modest in high severity than in medium-to-low severity (35.1% vs. 55.0%), and for injury than for illness (28.5% vs. 36.1%). In percentages, high severity increased from 63.3% to 71.3% (p = 0.016). The hospitalization rate increased from 1.7% to 3.9% (p = 0.029). For every 10-point increase in GRSI, there was a 20.0% decrease in high severity (95% confidence interval, 5%-30%).

conclusionsThis study shows an inverse association of SDPs with ophthalmic severity and an increase in severe cases along with consistent flow of injury cases, amid the overall decline in eye-related visits to the emergency department during the pandemic period.

Indexed as

COVID-19Emergency Service, HospitalEye DiseasesPhysical DistancingSeverity of Illness IndexAdolescentChildChild, PreschoolFemaleHospitalizationHumansInfantJapanMalePandemicsReferral and ConsultationCOVID‐19eye diseaseseye injuriesophthalmologyphysical distancing

Identifiers

PMID39417593
PMCPMC11580109

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LicenceCC BY-NC
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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.