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Effect of coronavirus disease 2019 on febrile children's visits to the emergency department of a tertiary hospital
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논문 기본 정보

Type
Academic journal
Author
Jin Ah Kim (서울대학교 어린이병원 소아청소년과) Meong Hi Son (서울대학교 어린이병원 소아청소년과) Miran Park (성균관대학교 의과대학 삼성서울병원 소아청소년과)
Journal
대한소아응급의학회 대한소아응급의학회지 대한소아응급의학회지 제8권 제1호 KCI Accredited Journals
Published
2021.1
Pages
8 - 15 (8page)

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Effect of coronavirus disease 2019 on febrile children's visits to the emergency department of a tertiary hospital
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Purpose: During the coronavirus disease 2019 pandemic, many countries have reported sharp drops in the numbers of patients, especially children, seeking emergency care unrelated to the disease. The author investigated the patterns of febrile children’s visits to the emergency department (ED) of a tertiary hospital from 2017 through 2020. Methods: We compared the data of febrile children aged 15 years or younger who visited the ED in 2017-2019 and in 2020 (February through August, each year). Information on the children’s baseline characteristics, the Korean Triage and Acuity Scale 1-2 indicating a high severity, and ED disposition, such as hospitalization, were collected. In addition, we determined the number of children who underwent cancellation, defined as the leave of children without treatment, and the rates of respiratory virus polymerase chain reaction performance and its positivity. Results: In 2020, we noted decreases in the median monthly fever-related ED visits (2017-2019, 326 [interquartile range, 292-425] vs. 2020, 149 [132-182]; P < 0.001) with a shorter median fever duration (2017-2019, 11 [3-27] days vs. 2020, 9 [2-23] days; P < 0.001). However, in the same year, we noted increases in rates of the Korean Triage and Acuity Scale 1-2 (2017-2019, 5.7% vs. 2020, 16.4%; P < 0.001) and hospitalization (2017-2019, 23.5% vs. 2020, 35.7%; P < 0.001). We also noted increases in the number of cancellation and the rate of respiratory virus polymerase chain reaction performance rate, along with a decrease in its positive rate in 2020. Conclusion: During the pandemic, the febrile children’s visits to the ED decreased in number. However, the severity remarkably increased, requiring more medical attention.
#Child #COVID-19 #Emergency Service #Hospital #Fever #Retrospective Studies #Tertiary Care Centers

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References (17)

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Korean Society of Infectious Diseases / 2020 / Report on the Epidemiological Features of Coronavirus Disease 2019 (COVID-19) Outbreak in the Republic of Korea from January 19 to March 2, 2020 / Journal of Korean Medical Science 35(10):1~11 dbpia Baugh JJ / 2020 / The cases not seen : patterns of emergency department visits and procedures in the era of COVID-19 / Am J Emerg Med Crossref Thornton J / 2020 / COVID-19: A&E visits in England fall by 25% in week after lockdown / BMJ 369:m1401 google schola Tam CF / 2020 / Impact of coronavirus disease 2019(COVID-19)outbreak on ST-segment-elevation myocardial infarction care in Hong Kong, China / Circ Cardiovasc Qual Outcomes 13:e006631 google schola Hartnett KP / 2020 / Impact of the COVID-19 pandemic on emergency department visits-United States, January 1, 2019-May 30, 2020 / MMWR Morb Mortal Wkly Rep 69:699~704 google schola

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