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About:
The impact of public health interventions on critical illness in the pediatric emergency department during the SARS‐CoV‐2 pandemic
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
The impact of public health interventions on critical illness in the pediatric emergency department during the SARS‐CoV‐2 pandemic
Creator
Zhang, Yin
Shah, Ashish
Boyd, Stephanie
Dean, Preston
Edmunds, Katherine
Frey, Mary
Frey, Theresa
Kerrey, Benjamin
Masur, Tonya
Reeves, Scott
Schaffzin, Joshua
Schwartz, Hamilton
Stalets, Erika
Vukovic, Adam
Source
Medline; PMC
abstract
STUDY OBJECTIVE: The impact of public health interventions during the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) pandemic on critical illness in children has not been studied. We seek to determine the impact of SARS‐CoV‐2 related public health interventions on emergency healthcare utilization and frequency of critical illness in children. METHODS: This was an interrupted time series analysis conducted at a single tertiary pediatric emergency department (PED). All patients evaluated by a provider from December 31 through May 14 of 6 consecutive years (2015‐2020) were included. Total patient visits (ED and urgent care), shock trauma suite (STS) volume, and measures of critical illness were compared between the SARS‐CoV‐2 period (December 31, 2019 to May 14, 2020) and the same period for the previous 5 years combined. A segmented regression model was used to explore differences in the 3 outcomes between the study and control period. RESULTS: Total visits, STS volume, and volume of critical illness were all significantly lower during the SARS‐CoV‐2 period. During the height of public health interventions, per day there were 151 fewer total visits and 7 fewer patients evaluated in the STS. The odds of having a 24‐hour period without a single critical patient were >5 times higher. Trends appeared to start before the statewide shelter‐in‐place order and lasted for at least 8 weeks. CONCLUSIONS: In a metropolitan area without significant SARS‐CoV‐2 seeding, the pandemic was associated with a marked reduction in PED visits for critical pediatric illness.
has issue date
2020-08-10
(
xsd:dateTime
)
bibo:doi
10.1002/emp2.12220
bibo:pmid
32838393
has license
cc-by-nc-nd
sha1sum (hex)
4defa0047a470eaa0fdcb03a9d06359a97cbddc0
schema:url
https://doi.org/10.1002/emp2.12220
resource representing a document's title
The impact of public health interventions on critical illness in the pediatric emergency department during the SARS‐CoV‐2 pandemic
has PubMed Central identifier
PMC7436689
has PubMed identifier
32838393
schema:publication
J Am Coll Emerg Physicians Open
resource representing a document's body
covid:4defa0047a470eaa0fdcb03a9d06359a97cbddc0#body_text
is
schema:about
of
named entity 'public health'
named entity 'emergency healthcare'
named entity 'pediatric'
named entity 'SARS-CoV-2'
named entity 'emergency department'
named entity 'public health interventions'
named entity 'severe acute respiratory syndrome coronavirus 2'
named entity 'public health interventions'
named entity 'SARS-CoV-2 pandemic'
named entity 'emergency department'
named entity 'exponential decay'
named entity 'pediatric'
named entity 'critical illness'
named entity 'urgent care'
named entity 'quality assurance'
named entity 'autocorrelation'
named entity 'morbidity'
named entity 'Epidemiology'
named entity 'infectious diseases'
named entity 'SARS-CoV-2 outbreak'
named entity 'pediatric'
named entity 'emergency care'
named entity 'critically ill'
named entity 'Cincinnati Children's Hospital Medical Center'
named entity 'scatter plots'
named entity 'time series'
named entity 'pediatric'
named entity 'urgent care'
named entity 'descriptive statistics'
named entity '95% CI'
named entity 'institutional review board'
named entity '95% CI'
named entity 'pandemics'
named entity 'control groups'
named entity 'control groups'
named entity 'PED'
named entity 'epidemiologic'
named entity 'non-linear'
named entity 'public health interventions'
named entity 'emergency nurse'
named entity 'SAS Institute'
named entity 'severe acute respiratory syndrome coronavirus 2'
named entity 'public health'
named entity 'public health interventions'
named entity 'pediatric'
named entity 'Critical illness'
named entity 'mixed effects modeling'
named entity 'critically ill'
named entity 'critical illness'
named entity 'traumatic injuries'
named entity 'infectious diseases'
named entity 'public health interventions'
named entity 'control groups'
named entity 'control group'
named entity 'critical illness'
named entity 'Cincinnati Children's'
named entity 'critical illness'
named entity 'public health interventions'
named entity 'public health interventions'
named entity 'epidemiologic'
named entity 'correlation'
named entity 'SARS-CoV-2'
named entity 'pediatric'
named entity 'viral transmission'
named entity 'pediatric patients'
named entity 'peer review'
named entity 'critical illness'
named entity 'Critically ill'
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