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10.1016/j.ajem.2021.02.029 http://scihub22266oqcxt.onion/10.1016/j.ajem.2021.02.029 33677263!7896495!33677263     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33677263&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       Am+J+Emerg+Med 2021 ; 45 (?): 100-104 Nephropedia Template TP {{tp|p=33677263|t=2021. Pediatric emergency department utilization during the COVID-19 pandemic in New York City |pdf=|usr=}}{{33677263}} gab.com Text Pediatric emergency department utilization during the COVID-19 pandemic in New York City JO: Am J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=33677263 #FOAvip OBJECTIVES: This study describes the utilization of a pediatric emergency department (ED) during the early months of the COVID-19 pandemic in the initial U.S. epicenter, including the impact on visit acuity and incidences of common diagnoses. STUDY DESIGN: We performed an observational retrospective review of patients younger than 18 years old seen in a New York City pediatric ED from March 7th to May 6th 2020, and during the same time period in 2018 and 2019. Demographics, visit details, diagnoses, and dispositions were compared. Validated algorithms were utilized to create practical diagnosis groupings and to determine the probability of a visit requiring emergent evaluation. RESULTS: ED visits during the pandemic decreased by 56% to an average daily census of 67 patients, from an anticipated 152. Admission rates rose from 13.3% to 17.4% (p<0.001), and the proportion of triage Emergency Severity Index level 1 and 2 patients increased by 23.7% (p<0.001). Non-emergent visits dropped from 32.3% to 27.5% (p<0.001). Several common, often low-acuity diagnoses saw disproportionate reductions in visits including headache, chest pain, and minor injuries. Concerningly, visits for suicidal ideation, suicide attempt, or self-harm increased by 100% (p<0.001) and visits for evaluating abuse or neglect decreased by 89% (p=0.01). CONCLUSIONS: Pediatric ED utilization substantially deceased during the early months of the COVID-19 pandemic in New York City, but left relatively higher patient acuity. Healthcare systems in early epicenters must also prepare for the disproportionate impact a pandemic has on the most vulnerable pediatric patients, particularly those at risk for self-harm or abuse. Twit Text FOAVip Pediatric emergency department utilization during the COVID-19 pandemic in New York City ????Am J Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=33677263 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33677263 #FOAvip English Wikipedia <ref>{{Cite pmid|33677263}}</ref> Pediatric emergency department utilization during the COVID-19 pandemic in New York City #MMPMID33677263 Sokoloff WC; Krief WI; Giusto KA; Mohaimin T; Murphy-Hockett C; Rocker J; Williamson KA Am J Emerg Med 2021[Jul]; 45 (?): 100-104 PMID33677263show ga OBJECTIVES: This study describes the utilization of a pediatric emergency department (ED) during the early months of the COVID-19 pandemic in the initial U.S. epicenter, including the impact on visit acuity and incidences of common diagnoses. STUDY DESIGN: We performed an observational retrospective review of patients younger than 18 years old seen in a New York City pediatric ED from March 7th to May 6th 2020, and during the same time period in 2018 and 2019. Demographics, visit details, diagnoses, and dispositions were compared. Validated algorithms were utilized to create practical diagnosis groupings and to determine the probability of a visit requiring emergent evaluation. RESULTS: ED visits during the pandemic decreased by 56% to an average daily census of 67 patients, from an anticipated 152. Admission rates rose from 13.3% to 17.4% (p<0.001), and the proportion of triage Emergency Severity Index level 1 and 2 patients increased by 23.7% (p<0.001). Non-emergent visits dropped from 32.3% to 27.5% (p<0.001). Several common, often low-acuity diagnoses saw disproportionate reductions in visits including headache, chest pain, and minor injuries. Concerningly, visits for suicidal ideation, suicide attempt, or self-harm increased by 100% (p<0.001) and visits for evaluating abuse or neglect decreased by 89% (p=0.01). CONCLUSIONS: Pediatric ED utilization substantially deceased during the early months of the COVID-19 pandemic in New York City, but left relatively higher patient acuity. Healthcare systems in early epicenters must also prepare for the disproportionate impact a pandemic has on the most vulnerable pediatric patients, particularly those at risk for self-harm or abuse. |*Pandemics[MESH] |*SARS-CoV-2[MESH] |Adolescent[MESH] |COVID-19/*epidemiology[MESH] |Child[MESH] |Child, Preschool[MESH] |Emergency Service, Hospital/*statistics & numerical data[MESH] |Female[MESH] |Humans[MESH] |Infant[MESH] |Male[MESH] |New York City/epidemiology[MESH]Pediatric emergency department utilization during the COVID-19 pandemi(epmc).pdf DeepDyve Pubget Overpricing