Evidence map›Paper›PMID 42361015›Full record

Observational studyPloS one2026

Emergency department visits and disease patterns during and after the COVID-19 lockdown.

Nagham Faris, Layal Hamdar, Hani Tamim, Maha Makki, Eveline Hitti

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nagham FarisDepartment of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Layal HamdarDepartment of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Hani TamimClinical Research Institute, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Maha MakkiClinical Research Institute, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Eveline HittiDepartment of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.ORCID https://orcid.org/0000-0001-9576-895X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic caused significant disruptions in healthcare systems worldwide, particularly in emergency department (ED) utilization. While much research has focused on pre-pandemic and lockdown periods, most published evidence comes from high-income settings, with fewer studies from LMICs examining the post-lockdown ED trends and diagnostic patterns.

aimThis study analyzed variations in patient volumes and shifts in disease patterns among both adult and pediatric patients presenting to the ED during and after the COVID-19 lockdown at a tertiary care center in Lebanon.

methodsA retrospective observational study was conducted using administrative data from the ED of a tertiary care medical center in Beirut, Lebanon. The study focused on adult and pediatric patients admitted between February 29, 2020, and April 14, 2022, and included a total of 69,870 patients, of whom 21.2% were pediatric cases.

resultsThe average age of patients decreased significantly post-lockdown (41.7 ± 24.9 vs. 37.7 ± 25.7 years, p-value <0.001), driven by a rise in pediatric visits (from 17.4% to 23.9%, p-value <0.001) demonstrating a catch-up effect. Adult volumes recovered more slowly throughout the post-lockdown period. Pediatric visits for respiratory tracts infections, COVID-19, and ear diseases surged post-lockdown (increases ranging from 303% to 355%). Adult patients showed decreases in COVID-19 and pregnancy-related visits and significant increases in injury, poisoning, digestive system diseases, and other viral infections. Post-lockdown, ED visits shifted toward lower acuity, with reduced admission rates and a slight decrease in length of stay.

conclusionAfter the COVID-19 containment period, ED visits significantly increased, especially in the pediatric age group, while adult volumes recovered more slowly with distinct diagnostic shifts. These patterns in ED visits during the pandemic highlight the need for continuous ED surveillance and flexible, adaptive healthcare strategies that can rapidly scale services and adjust staffing to meet the evolving demands of both pediatric and adult populations during and after public health emergencies.

Indexed as

COVID-19Emergency Room VisitsEmergency Service, HospitalAdolescentAdultChildChild, PreschoolFemaleHumansLebanonMaleMiddle AgedPandemicsRetrospective StudiesSARS-CoV-2Tertiary Care Centers

Identifiers

PMID42361015
PMCPMC13308808

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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.