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Laure Meurice, Pascal Vilain, Laurent Maillard

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 20, 2022
    PubMed
    Summary
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    COVID-19 lockdowns significantly impacted emergency department (ED) activity in France, reducing overall visits but increasing hospitalizations. This shift suggests a focus on more severe conditions during public health crises.

    Area of Science:

    • Public Health
    • Epidemiology
    • Healthcare Management

    Background:

    • The COVID-19 pandemic necessitated widespread public health interventions, including mandatory lockdowns in France.
    • These measures aimed to curb viral transmission and alleviate pressure on healthcare systems, particularly hospital departments.
    • Understanding the impact on emergency department (ED) utilization is crucial for healthcare planning.

    Purpose of the Study:

    • To describe emergency department (ED) activity in the Nouvelle-Aquitaine region during two COVID-19 related lockdowns.
    • To analyze trends in ED visits and patient demographics during these periods.
    • To assess the impact of lockdown measures on healthcare-seeking behaviors.

    Main Methods:

    • A retrospective descriptive analysis of ED visits was conducted.

    Related Experiment Videos

  • Data spanned from December 9, 2019, to December 20, 2020.
  • The distribution and characteristics of ED visits were studied.

    • Main Results:

    • Emergency department visits decreased by 50% during the first lockdown and 30% during the second.
    • Hospitalization rates increased by 48% and 20% during the respective lockdowns.
    • Care utilization shifted towards "coronavirus," "stroke," and "dyspnea/respiratory failure," while "ENT" and "skin infections" remained stable.

    Conclusions:

    • Real-time data monitoring, such as Oscour®, effectively tracked the COVID-19 epidemic and lockdown impacts on ED activity.
    • A decline in overall healthcare service use and an increase in hospitalization rates were observed.
    • Findings indicate a refocusing of healthcare recourse towards more serious pathologies during lockdowns.