Evidence map›Paper›PMID 40565477›Full record

ArticleHealthcare (Basel, Switzerland)2025

Impact of the COVID-19 Pandemic on Emergency Air Medical Transport of Pediatric Patients in the Penghu Islands.

Hung-Hsiang Fang, Chuang-Yen Huang, Po-Chang Hsu, Chia-Cheng Sung, Sheng-Ping Li, Chung-Yu Lai

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hung-Hsiang FangDepartment of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, Taipei 114, Taiwan.ORCID 0000-0001-5652-8486
Chuang-Yen HuangDepartment of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.ORCID 0000-0003-1870-3196
Po-Chang HsuDivision of Pediatrics, Kaohsiung Armed Forces General Hospital, Kaohsiung 802, Taiwan.ORCID 0000-0002-7221-8274
Chia-Cheng SungDepartment of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu, Taipei 114, Taiwan.ORCID 0000-0002-1954-2083
Sheng-Ping LiDivision of Pediatrics, Tri-Service General Hospital Penghu Branch, National Defense Medical Center, Magong City 880, Taiwan.
Chung-Yu LaiGraduate Institute of Aerospace and Undersea Medicine, National Defense Medical Center, Taipei 114, Taiwan.ORCID 0000-0002-7524-3010

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe coronavirus disease 2019 (COVID-19) pandemic significantly impacted healthcare systems worldwide. As a result, remote areas such as the Penghu Islands have encountered unique challenges related to pediatric care. This study examined the effects of the pandemic on the emergency air medical transport (EAMT) of pediatric patients from the Penghu Islands to Taiwan. MATERIALS AND

methodsThis retrospective study analyzed 40 pediatric patients who received EAMT from the Penghu Islands to Taiwan between January 2017 and December 2022. This study compared patients before and during the COVID-19 pandemic and focused on patient demographics, reasons for EAMT, and clinical outcomes. Due to the small sample size, non-parametric statistical methods were applied, including the Mann-Whitney U-test for continuous variables and Fisher's exact test for categorical variables.

resultsAmong the 40 pediatric patients analyzed, the median age decreased from 3 years (IQR, 0-5 years) before the pandemic to 1 year (IQR, 0-5 years) during the pandemic. While the overall increase in hospital length of stay during the pandemic was not statistically significant, a significant prolongation was observed in preschool-aged children and neonates without trauma (20 days vs. 9 days;

conclusionsThe COVID-19 pandemic heightened existing healthcare disparities in the Penghu Islands, particularly by increasing reliance on EAMT due to a shortage of pediatric specialists. Hospital stays for preschool children and neonates significantly increased during the pandemic, suggesting delayed or prolonged care. These findings underscore the need to strengthen local pediatric infrastructure, decentralize specialist services, and improve emergency preparedness to better support vulnerable populations in remote areas during future public health emergencies.

Indexed as

air transportationCOVID-19 pandemicemergency air medical transportpediatric patientsPenghu Islands

Identifiers

PMID40565477
PMCPMC12193445

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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.