About: Volume and Acuity of Emergency Department Visits Before and After COVID-19

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Volume and Acuity of Emergency Department Visits Before and After COVID-19
Creator	Abou-Samra, Abdul-Badi Azad, Aftab Bertollini, Roberto Butt, Adeel Kartha, Anand »more»
source	Elsevier; PMC
abstract	Abstract Background There are scant data regarding the change in volume and acuity of patients presenting to Emergency Departments (ED) after COVID-19 compared with the pre-COVID-19 era. Objective To determine ED volumes and triage acuity before and after COVID-19. Methods We determined the volume of patients presenting to four large EDs affiliated with a general, cardiac, cancer and obstetrics hospitals, and the acuity of presenting illness (using the Canadian Triage Acuity Scale, CTAS) for March and April 2020 and compared them with the same months in 2019 and January 2020. Together, these facilities see over 80% of the ED visits in Qatar. First COVID-19 patient in Qatar was diagnosed on February 29, 2020. Results A total of 192,157 ED visits were recorded during the study period. There was a 20%-43% overall drop in ED visits with significant variability across hospitals. The Heart Hospital experienced the sharpest decline (33-89%) while the National Center for Cancer Care and Research experienced the least decline in volumes. The decline was observed across all CTAS levels, with the largest decline observed in individuals presenting with CTAS 1 and 2 (26-69% decline month-on-month). No increase in overall number of deaths or crude morality rate were observed in the COVID-19 era according to national statistics. Conclusions Sharp declines in ED visits and the triage acuity seen in both general and specialty hospitals raise the concern that severely ill patients may not be seeking timely care, and a surge may be expected once current restrictions on movement are lifted.
has issue date	2020-08-07(xsd:dateTime)
bibo:doi	10.1016/j.jemermed.2020.08.013
has license	els-covid
sha1sum (hex)	86649fb75b4d7a78b63ed2678a61302a5d723c4c
schema:url	https://doi.org/10.1016/j.jemermed.2020.08.013
resource representing a document's title	Volume and Acuity of Emergency Department Visits Before and After COVID-19
has PubMed Central identifier	PMC7413056
schema:publication	J Emerg Med
resource representing a document's body	covid:86649fb75b4d7a78b63ed2678a61302a5d723c4c#body_text
is schema:about of	named entity 'Emergency Department' named entity 'Before' named entity 'ABSTRACT' named entity 'word count' named entity 'word Count' »more»
is part of of	Volume and Acuity of Emergency Department Visits Before and After COVID-19 covid:86649fb75b4d7a78b63ed2678a61302a5d723c4c#body_text Abstract Background There are scant data regarding the change in volume and acuity of patients presenting to Emergency Departments (ED) after COVID-19 compared with the pre-COVID-19 era. Objective To determine ED volumes and triage acuity before and after COVID-19. Methods We determined the volume of patients presenting to four large EDs affiliated with a general, cardiac, cancer and obstetrics hospitals, and the acuity of presenting illness (using the Canadian Triage Acuity Scale, CTAS) for March and April 2020 and compared them with the same months in 2019 and January 2020. Together, these facilities see over 80% of the ED visits in Qatar. First COVID-19 patient in Qatar was diagnosed on February 29, 2020. Results A total of 192,157 ED visits were recorded during the study period. There was a 20%-43% overall drop in ED visits with significant variability across hospitals. The Heart Hospital experienced the sharpest decline (33-89%) while the National Center for Cancer Care and Research experienced the least decline in volumes. The decline was observed across all CTAS levels, with the largest decline observed in individuals presenting with CTAS 1 and 2 (26-69% decline month-on-month). No increase in overall number of deaths or crude morality rate were observed in the COVID-19 era according to national statistics. Conclusions Sharp declines in ED visits and the triage acuity seen in both general and specialty hospitals raise the concern that severely ill patients may not be seeking timely care, and a surge may be expected once current restrictions on movement are lifted.

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