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COVID-19 impact on the emergency and hospitalization of a tertiary hospital. Management lessons learned

Gorka Martínez-Navarro1, Cristina Lozano-Zafra1, Francesc Caballero-Chabrera1

  • 1Sección de Pediatría General, Hospital Universitari i Politècnic La Fe, Valencia, España.

Enfermedades Infecciosas Y Microbiologia Clinica (English Ed.)
|April 13, 2021
PubMed

Insights

The COVID-19 pandemic significantly reduced pediatric emergency visits and hospital admissions, except for neonatology and oncology. This decrease may stem from reduced contagious illnesses and less inappropriate healthcare demand.

Area of Science:

  • Pediatric Emergency Medicine
  • Infectious Diseases
  • Healthcare Management

Background:

  • The COVID-19 pandemic presented unprecedented challenges to healthcare systems globally.
  • Understanding its impact on pediatric emergency services is crucial for resource allocation and patient care.
  • Previous research has indicated shifts in healthcare utilization during public health crises.

Purpose of the Study:

  • To analyze the impact of the COVID-19 pandemic on pediatric emergency department visits and hospital admissions.
  • To compare pediatric healthcare utilization during the pandemic with pre-pandemic periods.
  • To identify specific pediatric areas affected by changes in patient flow.

Main Methods:

  • Retrospective cohort study design.
  • Data collected from a tertiary hospital.
  • Comparison of patient data from March 14 to April 26, 2020, against the same period in the preceding three years.

Main Results:

  • A significant overall reduction in pediatric emergency room visits and hospital admissions was observed across most areas.
  • Care in neonatology and scheduled admissions for oncology patients remained consistent.
  • Trends suggest a potential decrease in non-urgent or inappropriate pediatric healthcare-seeking behaviors.

Conclusions:

  • The decline in pediatric emergency activity during the pandemic is multifactorial, extending beyond reduced contagious disease transmission.
  • Decreased inappropriate demand and healthcare-seeking may have contributed to lower admission rates.
  • Healthcare resource availability, particularly pediatric beds, could be optimized by adapting to reduced non-critical activity, allowing for better management of high-demand areas.
Abstract

Keywords:
COVID-10COVID-19Clinical managementGestión clínicaHospitalizaciónHospitalizationPandemiaPandemicPediatric emergenciesUrgencias pediátricas

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