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10.1002/emp2.12220

http://scihub22266oqcxt.onion/10.1002/emp2.12220
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suck abstract from ncbi


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pmid32838393      J+Am+Coll+Emerg+Physicians+Open 2020 ; 1 (6): 1542-1551
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  • The impact of public health interventions on critical illness in the pediatric emergency department during the SARS-CoV-2 pandemic #MMPMID32838393
  • Dean P; Zhang Y; Frey M; Shah A; Edmunds K; Boyd S; Schwartz H; Frey T; Stalets E; Schaffzin J; Vukovic AA; Reeves S; Masur T; Kerrey B
  • J Am Coll Emerg Physicians Open 2020[Dec]; 1 (6): 1542-1551 PMID32838393show ga
  • 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.
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