COVID-19:Transatlantic Declines in Pediatric Emergency Admissions

Isba, Rachel and Edge, Rhiannon and Auerbach, Marc and Cicero, Mark X and Jenner, Rachel and Setzer, Erika and Broughton, Emily and Keegan, Thomas (2020) COVID-19:Transatlantic Declines in Pediatric Emergency Admissions. Pediatric emergency care. ISSN 0749-5161

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Abstract

INTRODUCTION: This cross-sectional study looked at the impact of the SARS-CoV-2/COVID-19 pandemic on pediatric emergency department (PED) attendances and admissions (as a proxy for severity of illness) in the United States and United Kingdom. METHODS: Data were extracted for children and adolescents, younger than 16 years, attending Royal Manchester Children's Hospital (RMCH, United Kingdom), and Yale New Haven Children's Hospital (YNHCH, United States). Attendances for weeks 1 to 20 of 2020 and 2019 were compared, and likelihood of admission was assessed via calculation of odds ratios, using week 13 (lockdown) as a cutoff. RESULTS: Attendance numbers for each PED decreased in 2020 compared with 2019 (RMCH, 29.2%; YNHCH, 24.8%). Odds of admission were significantly higher after lockdown than in 2019-RMCH (odds ratio, 1.26; 95% confidence interval, 1.08-1.46) and YNHCH (odds ratio, 1.60; 95% confidence interval, 1.31-1.98). CONCLUSIONS: Although the absolute numbers of children and adolescents attending the PED and being admitted decreased after lockdown, the acuity of illness of those attending appears to be higher.

Item Type:
Journal Article
Journal or Publication Title:
Pediatric emergency care
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2700/2711
Subjects:
ID Code:
147833
Deposited By:
Deposited On:
30 Sep 2020 15:20
Refereed?:
Yes
Published?:
Published
Last Modified:
31 Oct 2020 07:21