Characterizing pediatric emergency department visits during the COVID-19 pandemic

We determine how pediatric emergency department (ED) visits changed during the COVID-19 pandemic in a large sample of U.S. EDs. Using retrospective data from January–June 2020, compared to a similar 2019 period, we calculated weekly 2020–2019 ratios of Non-COVID-19 ED visits for adults and children...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of emergency medicine 2021-03, Vol.41, p.201-204
Main Authors: Pines, Jesse M., Zocchi, Mark S., Black, Bernard S., Carlson, Jestin N., Celedon, Pablo, Moghtaderi, Ali, Venkat, Arvind
Format: Article
Language:English
Subjects:
Adolescent
Age
Ambulatory Care Facilities - statistics & numerical data
Appendicitis
Child
Children
Coronaviruses
COVID-19
COVID-19 - epidemiology
Emergency medical care
Emergency Service, Hospital - statistics & numerical data
Facilities and Services Utilization
Female
Hospitals, Pediatric - statistics & numerical data
Humans
Male
Pandemics
Patient Acceptance of Health Care
Pediatrics
Public health
Retrospective Studies
SARS-CoV-2
Telemedicine
United States - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c549t-3ab68096a3b7a7abb3deafe1e1ed946a102fbd1f9ef6ec7e02281b305397a4493
cites cdi_FETCH-LOGICAL-c549t-3ab68096a3b7a7abb3deafe1e1ed946a102fbd1f9ef6ec7e02281b305397a4493
container_end_page 204
container_issue
container_start_page 201
container_title The American journal of emergency medicine
container_volume 41
creator Pines, Jesse M.
Zocchi, Mark S.
Black, Bernard S.
Carlson, Jestin N.
Celedon, Pablo
Moghtaderi, Ali
Venkat, Arvind
description We determine how pediatric emergency department (ED) visits changed during the COVID-19 pandemic in a large sample of U.S. EDs. Using retrospective data from January–June 2020, compared to a similar 2019 period, we calculated weekly 2020–2019 ratios of Non-COVID-19 ED visits for adults and children (age 18 years or less) by age range. Outcomes were pediatric ED visit rates before and after the onset of pandemic, by age, disposition, and diagnosis. We included data from 2,213,828 visits to 144 EDs and 4 urgent care centers in 18 U.S. states, including 7 EDs in children's hospitals. During the pandemic period, adult non-COVID-19 visits declined to 60% of 2019 volumes and then partially recovered but remained below 2019 levels through June 2020. Pediatric visits declined even more sharply, with peak declines through the week of April 15 of 74% for children age 
doi_str_mv 10.1016/j.ajem.2020.11.037
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7682424</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0735675720310615</els_id><sourcerecordid>2466040865</sourcerecordid><originalsourceid>FETCH-LOGICAL-c549t-3ab68096a3b7a7abb3deafe1e1ed946a102fbd1f9ef6ec7e02281b305397a4493</originalsourceid><addsrcrecordid>eNp9kU2LFDEQhoMo7rj6BzxIgxcvPZuvTjoggoxfCwvLwuo1VKerZ9JMf5ikB9Zfb4ZZF92D5BBIPfVSlYeQ14yuGWXqol9Dj8OaU54f2JoK_YSsWCV4WTPNnpIV1aIqla70GXkRY08pY7KSz8mZELzSTMoVudnsIIBLGPwvP26LGVsPKXhX4IBhi6O7K1qcIaQBx1QcfPQpFu0SjnDaYbG5_nH5qWSmmGFscfDuJXnWwT7iq_v7nHz_8vl28628uv56ufl4VbpKmlQKaFRNjQLRaNDQNKJF6JDl0xqpgFHeNS3rDHYKnUbKec0aQSthNEhpxDn5cMqdl2bA1uXxAuztHPwA4c5O4O2_ldHv7HY6WK1qLrnMAe_uA8L0c8GY7OCjw_0eRpyWaLlUikpaqyqjbx-h_bSEMa-XKcNNTWujM8VPlAtTjAG7h2EYtUdjtrdHY_ZozDJms7Hc9ObvNR5a_ijKwPsTgPkzDx6Djc5nL1lUQJdsO_n_5f8GnnioVQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2492980897</pqid></control><display><type>article</type><title>Characterizing pediatric emergency department visits during the COVID-19 pandemic</title><source>Elsevier</source><creator>Pines, Jesse M. ; Zocchi, Mark S. ; Black, Bernard S. ; Carlson, Jestin N. ; Celedon, Pablo ; Moghtaderi, Ali ; Venkat, Arvind</creator><creatorcontrib>Pines, Jesse M. ; Zocchi, Mark S. ; Black, Bernard S. ; Carlson, Jestin N. ; Celedon, Pablo ; Moghtaderi, Ali ; Venkat, Arvind ; For the US Acute Care Solutions Research Group ; US Acute Care Solutions Research Group</creatorcontrib><description>We determine how pediatric emergency department (ED) visits changed during the COVID-19 pandemic in a large sample of U.S. EDs. Using retrospective data from January–June 2020, compared to a similar 2019 period, we calculated weekly 2020–2019 ratios of Non-COVID-19 ED visits for adults and children (age 18 years or less) by age range. Outcomes were pediatric ED visit rates before and after the onset of pandemic, by age, disposition, and diagnosis. We included data from 2,213,828 visits to 144 EDs and 4 urgent care centers in 18 U.S. states, including 7 EDs in children's hospitals. During the pandemic period, adult non-COVID-19 visits declined to 60% of 2019 volumes and then partially recovered but remained below 2019 levels through June 2020. Pediatric visits declined even more sharply, with peak declines through the week of April 15 of 74% for children age &lt; 10 years and 67% for 14–17 year. Visits recovered by June to 72% for children age 14–17, but to only 50% of 2019 levels for children &lt; age 10 years. Declines were seen across all ED types and locations, and across all diagnoses, with an especially sharp decline in non-COVID-19 communicable diseases. During the pandemic period, there was 22% decline in common serious pediatric conditions, including appendicitis. Pediatric ED visits fell more sharply than adult ED visits during the COVID-19 pandemic, and remained depressed through June 2020, especially for younger children. Declines were also seen for serious conditions, suggesting that parents may have avoided necessary care for their children.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2020.11.037</identifier><identifier>PMID: 33257144</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Age ; Ambulatory Care Facilities - statistics &amp; numerical data ; Appendicitis ; Child ; Children ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; Emergency medical care ; Emergency Service, Hospital - statistics &amp; numerical data ; Facilities and Services Utilization ; Female ; Hospitals, Pediatric - statistics &amp; numerical data ; Humans ; Male ; Pandemics ; Patient Acceptance of Health Care ; Pediatrics ; Public health ; Retrospective Studies ; SARS-CoV-2 ; Telemedicine ; United States - epidemiology</subject><ispartof>The American journal of emergency medicine, 2021-03, Vol.41, p.201-204</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>2020. Elsevier Inc.</rights><rights>2020 Elsevier Inc. All rights reserved. 2020 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c549t-3ab68096a3b7a7abb3deafe1e1ed946a102fbd1f9ef6ec7e02281b305397a4493</citedby><cites>FETCH-LOGICAL-c549t-3ab68096a3b7a7abb3deafe1e1ed946a102fbd1f9ef6ec7e02281b305397a4493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,778,782,883,27911,27912</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33257144$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pines, Jesse M.</creatorcontrib><creatorcontrib>Zocchi, Mark S.</creatorcontrib><creatorcontrib>Black, Bernard S.</creatorcontrib><creatorcontrib>Carlson, Jestin N.</creatorcontrib><creatorcontrib>Celedon, Pablo</creatorcontrib><creatorcontrib>Moghtaderi, Ali</creatorcontrib><creatorcontrib>Venkat, Arvind</creatorcontrib><creatorcontrib>For the US Acute Care Solutions Research Group</creatorcontrib><creatorcontrib>US Acute Care Solutions Research Group</creatorcontrib><title>Characterizing pediatric emergency department visits during the COVID-19 pandemic</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>We determine how pediatric emergency department (ED) visits changed during the COVID-19 pandemic in a large sample of U.S. EDs. Using retrospective data from January–June 2020, compared to a similar 2019 period, we calculated weekly 2020–2019 ratios of Non-COVID-19 ED visits for adults and children (age 18 years or less) by age range. Outcomes were pediatric ED visit rates before and after the onset of pandemic, by age, disposition, and diagnosis. We included data from 2,213,828 visits to 144 EDs and 4 urgent care centers in 18 U.S. states, including 7 EDs in children's hospitals. During the pandemic period, adult non-COVID-19 visits declined to 60% of 2019 volumes and then partially recovered but remained below 2019 levels through June 2020. Pediatric visits declined even more sharply, with peak declines through the week of April 15 of 74% for children age &lt; 10 years and 67% for 14–17 year. Visits recovered by June to 72% for children age 14–17, but to only 50% of 2019 levels for children &lt; age 10 years. Declines were seen across all ED types and locations, and across all diagnoses, with an especially sharp decline in non-COVID-19 communicable diseases. During the pandemic period, there was 22% decline in common serious pediatric conditions, including appendicitis. Pediatric ED visits fell more sharply than adult ED visits during the COVID-19 pandemic, and remained depressed through June 2020, especially for younger children. Declines were also seen for serious conditions, suggesting that parents may have avoided necessary care for their children.</description><subject>Adolescent</subject><subject>Age</subject><subject>Ambulatory Care Facilities - statistics &amp; numerical data</subject><subject>Appendicitis</subject><subject>Child</subject><subject>Children</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital - statistics &amp; numerical data</subject><subject>Facilities and Services Utilization</subject><subject>Female</subject><subject>Hospitals, Pediatric - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Pandemics</subject><subject>Patient Acceptance of Health Care</subject><subject>Pediatrics</subject><subject>Public health</subject><subject>Retrospective Studies</subject><subject>SARS-CoV-2</subject><subject>Telemedicine</subject><subject>United States - epidemiology</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kU2LFDEQhoMo7rj6BzxIgxcvPZuvTjoggoxfCwvLwuo1VKerZ9JMf5ikB9Zfb4ZZF92D5BBIPfVSlYeQ14yuGWXqol9Dj8OaU54f2JoK_YSsWCV4WTPNnpIV1aIqla70GXkRY08pY7KSz8mZELzSTMoVudnsIIBLGPwvP26LGVsPKXhX4IBhi6O7K1qcIaQBx1QcfPQpFu0SjnDaYbG5_nH5qWSmmGFscfDuJXnWwT7iq_v7nHz_8vl28628uv56ufl4VbpKmlQKaFRNjQLRaNDQNKJF6JDl0xqpgFHeNS3rDHYKnUbKec0aQSthNEhpxDn5cMqdl2bA1uXxAuztHPwA4c5O4O2_ldHv7HY6WK1qLrnMAe_uA8L0c8GY7OCjw_0eRpyWaLlUikpaqyqjbx-h_bSEMa-XKcNNTWujM8VPlAtTjAG7h2EYtUdjtrdHY_ZozDJms7Hc9ObvNR5a_ijKwPsTgPkzDx6Djc5nL1lUQJdsO_n_5f8GnnioVQ</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Pines, Jesse M.</creator><creator>Zocchi, Mark S.</creator><creator>Black, Bernard S.</creator><creator>Carlson, Jestin N.</creator><creator>Celedon, Pablo</creator><creator>Moghtaderi, Ali</creator><creator>Venkat, Arvind</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210301</creationdate><title>Characterizing pediatric emergency department visits during the COVID-19 pandemic</title><author>Pines, Jesse M. ; Zocchi, Mark S. ; Black, Bernard S. ; Carlson, Jestin N. ; Celedon, Pablo ; Moghtaderi, Ali ; Venkat, Arvind</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c549t-3ab68096a3b7a7abb3deafe1e1ed946a102fbd1f9ef6ec7e02281b305397a4493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Age</topic><topic>Ambulatory Care Facilities - statistics &amp; numerical data</topic><topic>Appendicitis</topic><topic>Child</topic><topic>Children</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Emergency medical care</topic><topic>Emergency Service, Hospital - statistics &amp; numerical data</topic><topic>Facilities and Services Utilization</topic><topic>Female</topic><topic>Hospitals, Pediatric - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Pandemics</topic><topic>Patient Acceptance of Health Care</topic><topic>Pediatrics</topic><topic>Public health</topic><topic>Retrospective Studies</topic><topic>SARS-CoV-2</topic><topic>Telemedicine</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pines, Jesse M.</creatorcontrib><creatorcontrib>Zocchi, Mark S.</creatorcontrib><creatorcontrib>Black, Bernard S.</creatorcontrib><creatorcontrib>Carlson, Jestin N.</creatorcontrib><creatorcontrib>Celedon, Pablo</creatorcontrib><creatorcontrib>Moghtaderi, Ali</creatorcontrib><creatorcontrib>Venkat, Arvind</creatorcontrib><creatorcontrib>For the US Acute Care Solutions Research Group</creatorcontrib><creatorcontrib>US Acute Care Solutions Research Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing &amp; Allied Health Source</collection><collection>Immunology Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep (ProQuest)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pines, Jesse M.</au><au>Zocchi, Mark S.</au><au>Black, Bernard S.</au><au>Carlson, Jestin N.</au><au>Celedon, Pablo</au><au>Moghtaderi, Ali</au><au>Venkat, Arvind</au><aucorp>For the US Acute Care Solutions Research Group</aucorp><aucorp>US Acute Care Solutions Research Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterizing pediatric emergency department visits during the COVID-19 pandemic</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>41</volume><spage>201</spage><epage>204</epage><pages>201-204</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>We determine how pediatric emergency department (ED) visits changed during the COVID-19 pandemic in a large sample of U.S. EDs. Using retrospective data from January–June 2020, compared to a similar 2019 period, we calculated weekly 2020–2019 ratios of Non-COVID-19 ED visits for adults and children (age 18 years or less) by age range. Outcomes were pediatric ED visit rates before and after the onset of pandemic, by age, disposition, and diagnosis. We included data from 2,213,828 visits to 144 EDs and 4 urgent care centers in 18 U.S. states, including 7 EDs in children's hospitals. During the pandemic period, adult non-COVID-19 visits declined to 60% of 2019 volumes and then partially recovered but remained below 2019 levels through June 2020. Pediatric visits declined even more sharply, with peak declines through the week of April 15 of 74% for children age &lt; 10 years and 67% for 14–17 year. Visits recovered by June to 72% for children age 14–17, but to only 50% of 2019 levels for children &lt; age 10 years. Declines were seen across all ED types and locations, and across all diagnoses, with an especially sharp decline in non-COVID-19 communicable diseases. During the pandemic period, there was 22% decline in common serious pediatric conditions, including appendicitis. Pediatric ED visits fell more sharply than adult ED visits during the COVID-19 pandemic, and remained depressed through June 2020, especially for younger children. Declines were also seen for serious conditions, suggesting that parents may have avoided necessary care for their children.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33257144</pmid><doi>10.1016/j.ajem.2020.11.037</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0735-6757
ispartof The American journal of emergency medicine, 2021-03, Vol.41, p.201-204
issn 0735-6757
1532-8171
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7682424
source Elsevier
subjects Adolescent
Age
Ambulatory Care Facilities - statistics & numerical data
Appendicitis
Child
Children
Coronaviruses
COVID-19
COVID-19 - epidemiology
Emergency medical care
Emergency Service, Hospital - statistics & numerical data
Facilities and Services Utilization
Female
Hospitals, Pediatric - statistics & numerical data
Humans
Male
Pandemics
Patient Acceptance of Health Care
Pediatrics
Public health
Retrospective Studies
SARS-CoV-2
Telemedicine
United States - epidemiology
title Characterizing pediatric emergency department visits during the COVID-19 pandemic
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T01%3A41%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Characterizing%20pediatric%20emergency%20department%20visits%20during%20the%20COVID-19%20pandemic&rft.jtitle=The%20American%20journal%20of%20emergency%20medicine&rft.au=Pines,%20Jesse%20M.&rft.aucorp=For%20the%20US%20Acute%20Care%20Solutions%20Research%20Group&rft.date=2021-03-01&rft.volume=41&rft.spage=201&rft.epage=204&rft.pages=201-204&rft.issn=0735-6757&rft.eissn=1532-8171&rft_id=info:doi/10.1016/j.ajem.2020.11.037&rft_dat=%3Cproquest_pubme%3E2466040865%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c549t-3ab68096a3b7a7abb3deafe1e1ed946a102fbd1f9ef6ec7e02281b305397a4493%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2492980897&rft_id=info:pmid/33257144&rfr_iscdi=true