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Urologic emergencies before and after COVID-19: a retrospective chart review

Zoe S Gan1, Cheyenne Williams, Olivia O Familusi

  • 1Division of Urology, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

The Canadian Journal of Urology
|April 19, 2021
PubMed

Insights

Urologic emergencies significantly decreased during the COVID-19 pandemic, with a 54% drop in emergent cases. Patients seeking care during this period were more likely to be local and familiar with their healthcare providers.

Area of Science:

  • Urology
  • Emergency Medicine
  • Public Health

Background:

  • The COVID-19 pandemic led to reduced emergency department (ED) visits for various conditions.
  • Understanding the impact on urologic emergencies is crucial for healthcare system preparedness.

Purpose of the Study:

  • To compare the volume of urologic emergencies presenting to EDs before and during the COVID-19 pandemic within a single health system.

Main Methods:

  • Retrospective chart review of ED urology consults from January 2019 to May 2020 across 3 EDs.
  • Comparison of data between March-May 2020 (COVID-19 months) and corresponding months in 2019.
  • Extraction of patient demographics, insurance, Charlson Comorbidity Index (CCI), travel distance, and prior provider visits.

Main Results:

  • A 22% overall decrease in urologic ED presentations and a 54% decrease in emergent urologic cases were observed.
  • Patients presenting with emergent diagnoses showed increased Medicare/Medicaid coverage and decreased private insurance.
  • Increased utilization of local providers and those within the health system was noted during the pandemic months.

Conclusions:

  • Urologic emergencies substantially decreased during the early COVID-19 pandemic.
  • Factors such as geographic proximity and established patient-provider relationships may influence presentation for emergent urologic care during public health crises.

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