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Emergency Department Utilization for Emergency Conditions During COVID-19

STUDY OBJECTIVE: We use a national emergency medicine clinical quality registry to describe recent trends in emergency department (ED) visitation overall and for select emergency conditions. METHODS: Data were drawn from the Clinical Emergency Department Registry, including 164 ED sites across 35 st...

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Autores principales: Venkatesh, Arjun K., Janke, Alexander T., Shu-Xia, Li, Rothenberg, Craig, Goyal, Pawan, Terry, Aisha, Lin, Michelle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: by the American College of Emergency Physicians. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7805390/
https://www.ncbi.nlm.nih.gov/pubmed/33840512
http://dx.doi.org/10.1016/j.annemergmed.2021.01.011
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author Venkatesh, Arjun K.
Janke, Alexander T.
Shu-Xia, Li
Rothenberg, Craig
Goyal, Pawan
Terry, Aisha
Lin, Michelle
author_facet Venkatesh, Arjun K.
Janke, Alexander T.
Shu-Xia, Li
Rothenberg, Craig
Goyal, Pawan
Terry, Aisha
Lin, Michelle
author_sort Venkatesh, Arjun K.
collection PubMed
description STUDY OBJECTIVE: We use a national emergency medicine clinical quality registry to describe recent trends in emergency department (ED) visitation overall and for select emergency conditions. METHODS: Data were drawn from the Clinical Emergency Department Registry, including 164 ED sites across 35 states participating in the registry with complete data from January 2019 through November 15, 2020. Overall ED visit counts, as well as specific emergency medical conditions identified by International Classification of Diseases, Tenth Revision, Clinical Modification code (myocardial infarction, cerebrovascular accident, cardiac arrest/ventricular fibrillation, and venous thromboembolisms), were tabulated. We plotted biweekly visit counts overall and across specific geographic regions. RESULTS: The largest declines in visit counts occurred early in the pandemic, with a nadir in April 46% lower than the 2019 monthly average. By November, overall ED visit counts had increased, but were 23% lower than prepandemic levels. The proportion of all ED visits that were for the select emergency conditions increased early in the pandemic; however, total visit counts for acute myocardial infarction and cerebrovascular disease have remained lower in 2020 compared with 2019. Despite considerable geographic and temporal variation in the trajectory of the coronavirus disease 2019 outbreak, the overall pattern of ED visits observed was similar across regions and time. CONCLUSION: The persistent decline in ED visits for these time-sensitive emergency conditions raises the concern that coronavirus disease 2019 may continue to impede patients from seeking essential care. Efforts thus far to encourage individuals with concerning signs and symptoms to seek emergency care may not have been sufficient.
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spelling pubmed-78053902021-01-14 Emergency Department Utilization for Emergency Conditions During COVID-19 Venkatesh, Arjun K. Janke, Alexander T. Shu-Xia, Li Rothenberg, Craig Goyal, Pawan Terry, Aisha Lin, Michelle Ann Emerg Med Health Policy/Brief Research Report STUDY OBJECTIVE: We use a national emergency medicine clinical quality registry to describe recent trends in emergency department (ED) visitation overall and for select emergency conditions. METHODS: Data were drawn from the Clinical Emergency Department Registry, including 164 ED sites across 35 states participating in the registry with complete data from January 2019 through November 15, 2020. Overall ED visit counts, as well as specific emergency medical conditions identified by International Classification of Diseases, Tenth Revision, Clinical Modification code (myocardial infarction, cerebrovascular accident, cardiac arrest/ventricular fibrillation, and venous thromboembolisms), were tabulated. We plotted biweekly visit counts overall and across specific geographic regions. RESULTS: The largest declines in visit counts occurred early in the pandemic, with a nadir in April 46% lower than the 2019 monthly average. By November, overall ED visit counts had increased, but were 23% lower than prepandemic levels. The proportion of all ED visits that were for the select emergency conditions increased early in the pandemic; however, total visit counts for acute myocardial infarction and cerebrovascular disease have remained lower in 2020 compared with 2019. Despite considerable geographic and temporal variation in the trajectory of the coronavirus disease 2019 outbreak, the overall pattern of ED visits observed was similar across regions and time. CONCLUSION: The persistent decline in ED visits for these time-sensitive emergency conditions raises the concern that coronavirus disease 2019 may continue to impede patients from seeking essential care. Efforts thus far to encourage individuals with concerning signs and symptoms to seek emergency care may not have been sufficient. by the American College of Emergency Physicians. 2021-07 2021-01-13 /pmc/articles/PMC7805390/ /pubmed/33840512 http://dx.doi.org/10.1016/j.annemergmed.2021.01.011 Text en © 2021 by the American College of Emergency Physicians. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Health Policy/Brief Research Report
Venkatesh, Arjun K.
Janke, Alexander T.
Shu-Xia, Li
Rothenberg, Craig
Goyal, Pawan
Terry, Aisha
Lin, Michelle
Emergency Department Utilization for Emergency Conditions During COVID-19
title Emergency Department Utilization for Emergency Conditions During COVID-19
title_full Emergency Department Utilization for Emergency Conditions During COVID-19
title_fullStr Emergency Department Utilization for Emergency Conditions During COVID-19
title_full_unstemmed Emergency Department Utilization for Emergency Conditions During COVID-19
title_short Emergency Department Utilization for Emergency Conditions During COVID-19
title_sort emergency department utilization for emergency conditions during covid-19
topic Health Policy/Brief Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7805390/
https://www.ncbi.nlm.nih.gov/pubmed/33840512
http://dx.doi.org/10.1016/j.annemergmed.2021.01.011
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