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Pediatric Emergency Department Utilization and Coronavirus Disease in Daegu, Korea
Kyung Mi Jang1, Ji Young Ahn1, Hee Joung Choi2
1Department of Pediatrics, Yeungnam University School of Medicine, Yeungnam University Hospital, Daegu, Korea.
Insights
The coronavirus disease 2019 (COVID-19) pandemic significantly reduced emergency department (ED) visits for children. This decrease impacted resource allocation and led to more severe conditions among those who did visit the ED.
Area of Science:
- Pediatric Emergency Medicine
- Infectious Disease Epidemiology
- Public Health
Background:
- Limited data exist on pediatric emergency department (ED) utilization during the COVID-19 pandemic.
- Understanding these trends is crucial for managing healthcare resources during outbreaks.
Purpose of the Study:
- To examine emergency department (ED) utilization among pediatric patients during the COVID-19 pandemic.
- To assess the impact of COVID-19 on pediatric ED visits in a major city.
Main Methods:
- Retrospective study analyzing data from six EDs in Daegu, Korea.
- Comparison of patient demographics and clinical data from February 1st-June 30th, 2020, with the same period in 2018-2019.
Main Results:
- Pediatric ED visits decreased by 76.9% during the COVID-19 pandemic compared to previous years.
- While overall visits increased from March 2020, pediatric visits remained below half of pre-pandemic levels by June 2020.
- A higher proportion of adult and pediatric patients presented with severe conditions, leading to increased ambulance use and hospitalizations.
Conclusions:
- The COVID-19 pandemic caused a substantial decline in pediatric ED utilization.
- Findings can inform resource reallocation strategies for EDs during infectious disease outbreaks.
Background:
Limited data exist on children's utilization of the emergency department (ED) in the ongoing coronavirus disease 2019 (COVID-19) pandemic. Thus, we aimed to examine ED utilization among pediatric patients and the impact of COVID-19 in one large city affected by the outbreak.
Methods:
This retrospective study included data from six EDs in Daegu, Korea. We compared the demographic and clinical data of patients presenting to the ED during the COVID-19 pandemic (February 1st-June 30th 2020) with those of patients who visited the ED in this period during 2018 and 2019.
Results:
Fewer patients, particularly children visited the EDs during the study period in 2020 than those in the previous (2018/2019) year period: the number of adult patient decreased by 46.4% and children by 76.9%. Although the number of patients increased from the lowest point of the decrease in March 2020, the number of pediatric patients visiting the ED remained less than half (45.2%) in June 2020 compared with that of previous years. The proportion of patients with severe conditions increased in adults, infants, and school-aged children, and consequently resulted in increased ambulance use and higher hospitalization rates. Fewer infants and young children but more school-aged children visited the ED with febrile illnesses in 2020 than in 2018/2019.
Conclusion:
The COVID-19 pandemic has led to a substantial decrease in pediatric ED utilization. These findings can help reallocate human and material resources in the EDs during infectious disease outbreaks.
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