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2020 ; 38
(9
): 1732-1736
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The impact of the COVID-19 pandemic on emergency department visits and patient
safety in the United States
#MMPMID32738468
Boserup B
; McKenney M
; Elkbuli A
Am J Emerg Med
2020[Sep]; 38
(9
): 1732-1736
PMID32738468
show ga
BACKGROUND: COVID-19 pandemic effects are still being elucidated. Stay-at-home
orders and social distancing compounded with COVID-19 concerns have caused
significant disruptions in daily life. One notable effect of these variables may
be a change in the number of emergency department (ED) visits. This study aims to
investigate the effects of COVID-19 on ED visits, and possible reasons for
changes. METHODS: Retrospective analysis using CDC data for ED visits and
percentage of visits for COVID-19-Like Illness (CLI) and Influenza-Like Illness
(ILI). Google Trends was used to assess COVID-19 public awareness. Motor vehicle
collision (MVC) data was collected from cities, which reported current data. A
descriptive statistical analysis and two-sample t-test was performed on ED visit
data to assess for significance and a descriptive analysis was conducted to
assess COVID-19's impact on MVCs. RESULTS: The mean number of ED visits per week
for the last four weeks of available data during the pandemic was significantly
less than the four weeks prior to COVID-19 pandemic (p?=?0.008). The ED visit
decrease per week varied by region, with Region 1 having the greatest decrease
(45%). MVCs decreased substantially across all cities studied, with New York City
and Baton Rouge experiencing the greatest decrease (66%) during the pandemic.
CONCLUSION: A number of factors have likely contributed to the substantial
decrease in ED visits observed in this study. In light of these findings, it is
important to raise patient awareness regarding acute conditions that are deadlier
than COVID-19 and require immediate medical intervention to ensure recovery.
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