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10.1016/j.ienj.2021.100984

http://scihub22266oqcxt.onion/10.1016/j.ienj.2021.100984
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suck abstract from ncbi


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pmid33677141      Int+Emerg+Nurs 2021 ; 56 (ä): 100984
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  • The wider implications of the COVID-19 pandemic: Assessing the impact of accident and emergency use for frequent attenders #MMPMID33677141
  • Kyle D; Shaw M; Maguire D; McMillan D; Quasim T; Leyland AH; McPeake J
  • Int Emerg Nurs 2021[May]; 56 (ä): 100984 PMID33677141show ga
  • INTRODUCTION: Emergency departments have seen altered patterns of attendance since the beginning of the COVID-19 pandemic, with reductions in the number of attendances for non-COVID-19 - patients. We assessed the use of the emergency department by frequent attenders during the height of the COVID-19 pandemic and explored any changes in emergency department attendance by this group. METHODS: As part of ongoing improvement work, we utilised a cohort design to evaluate the difference in patterns of attendance for the frequent attender group in a single centre. We created a 2019 'top attender' cohort and a similar cohort for 2020. We compared admission patterns between the two time periods in order to understand the impact of the COVID-19 pandemic on this group. RESULTS: Both groups were predominately male. Mental health and substance misuse use problems were common across both cohorts. The majority of patients lived in a socio-economically deprived areas. The median number emergency department visits in 2019, for the top attender cohort was 6 (IQR: 4-9) vs 4 (IQR: 2-7) for the top attender cohort of 2020 (p < .0013). CONCLUSION: This single centre evaluation has shown a significant reduction in emergency department attendances for a frequent attender cohort in a single centre. Future work should investigate the longer-term impact which the COVID-19 pandemic has had on this patient group.
  • |Adult[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Emergency Service, Hospital/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Health Services Misuse/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Mental Disorders/therapy[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |SARS-CoV-2[MESH]
  • |Substance-Related Disorders/therapy[MESH]


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