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10.5811/westjem.2020.8.48632 http://scihub22266oqcxt.onion/10.5811/westjem.2020.8.48632 33052821!7673895!33052821     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       West+J+Emerg+Med 2020 ; 21 (6): 15-23 Nephropedia Template TP {{tp|p=33052821|t=2020. Underutilization of the Emergency Department During the COVID-19 Pandemic |pdf=|usr=}}{{33052821}} gab.com Text Underutilization of the Emergency Department During the COVID-19 Pandemic JO: West J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=33052821 #FOAvip INTRODUCTION: The novel coronavirus 2019 (COVID-19) pandemic in the United States (US) prompted widespread containment measures such as shelter-in-place (SIP) orders. The goal of our study was to determine whether there was a significant change in overall volume and proportion of emergency department (ED) encounters since SIP measures began. METHODS: This was a retrospective, observational, cross-sectional study using billing data from January 1, 2017-April 20, 2020. We received data from 141 EDs across 16 states, encompassing a convenience sample of 26,223,438 ED encounters. We used a generalized least squares regression approach to ascertain changes for overall ED encounters, hospital admissions, and New York University ED visit algorithm categories. RESULTS: ED encounters decreased significantly in the post-SIP period. Overall, there was a 39.6% decrease in ED encounters compared to expected volume in the pre-SIP period. Emergent encounters decreased by 35.8%, while non-emergent encounters decreased by 52.1%. Psychiatric encounters decreased by 30.2%. Encounters related to drugs and alcohol decreased the least, by 9.3% and 27.5%, respectively. CONCLUSION: There was a significant overall reduction in ED utilization in the post-SIP period. There was a greater reduction in lower acuity encounters than higher acuity encounters. Of all subtypes of ED encounters, substance abuse- and alcohol-related encounters reduced the least, and injury-related encounters reduced the most. Twit Text FOAVip Underutilization of the Emergency Department During the COVID-19 Pandemic ????West J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=33052821 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33052821 #FOAvip English Wikipedia <ref>{{Cite pmid|33052821}}</ref> Underutilization of the Emergency Department During the COVID-19 Pandemic #MMPMID33052821 Lucero AD; Lee A; Hyun J; Lee C; Kahwaji C; Miller G; Neeki M; Tamayo-Sarver J; Pan L West J Emerg Med 2020[Sep]; 21 (6): 15-23 PMID33052821show ga INTRODUCTION: The novel coronavirus 2019 (COVID-19) pandemic in the United States (US) prompted widespread containment measures such as shelter-in-place (SIP) orders. The goal of our study was to determine whether there was a significant change in overall volume and proportion of emergency department (ED) encounters since SIP measures began. METHODS: This was a retrospective, observational, cross-sectional study using billing data from January 1, 2017-April 20, 2020. We received data from 141 EDs across 16 states, encompassing a convenience sample of 26,223,438 ED encounters. We used a generalized least squares regression approach to ascertain changes for overall ED encounters, hospital admissions, and New York University ED visit algorithm categories. RESULTS: ED encounters decreased significantly in the post-SIP period. Overall, there was a 39.6% decrease in ED encounters compared to expected volume in the pre-SIP period. Emergent encounters decreased by 35.8%, while non-emergent encounters decreased by 52.1%. Psychiatric encounters decreased by 30.2%. Encounters related to drugs and alcohol decreased the least, by 9.3% and 27.5%, respectively. CONCLUSION: There was a significant overall reduction in ED utilization in the post-SIP period. There was a greater reduction in lower acuity encounters than higher acuity encounters. Of all subtypes of ED encounters, substance abuse- and alcohol-related encounters reduced the least, and injury-related encounters reduced the most. |Adolescent[MESH] |Adult[MESH] |Age Distribution[MESH] |Aged[MESH] |COVID-19/*epidemiology[MESH] |Child[MESH] |Child, Preschool[MESH] |Cross-Sectional Studies[MESH] |Emergency Service, Hospital/*statistics & numerical data[MESH] |Female[MESH] |Humans[MESH] |Infant[MESH] |Male[MESH] |Middle Aged[MESH] |Quarantine/legislation & jurisprudence[MESH] |Retrospective Studies[MESH] |SARS-CoV-2[MESH] |Sex Distribution[MESH] |United States/epidemiology[MESH]Underutilization of the Emergency Department During the COVID-19 Pande(epmc).pdf DeepDyve Pubget Overpricing