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Impact of COVID-19 on paediatric emergency department attendances at four English hospitals

Patrick Aldridge1,2, Sarah Wilson3, Damian Roland4,5

  • 1Emergency Department, Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, UK patrickjaldridge@hotmail.com.

BMJ Paediatrics Open
|September 2, 2022
PubMed

Insights

Paediatric emergency department (PED) visits significantly decreased during COVID-19. However, infant emergency visits for babies under 30 days (BUD) showed a much smaller reduction, indicating resilience.

Area of Science:

  • Pediatric Emergency Medicine
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic caused a global decline in paediatric emergency department (PED) attendances.
  • Anecdotal evidence suggested that babies under 30 days (BUD) might have been less affected by this trend.

Purpose of the Study:

  • To quantify the impact of the COVID-19 pandemic on PED attendances.
  • To specifically assess the effect on attendance rates for babies under 30 days (BUD).

Main Methods:

  • Collected monthly PED attendance data from January 2017 to December 2020.
  • Included data from four hospitals in England (three district general, one tertiary specialist PED).
  • Analyzed overall PED attendances and specifically BUD attendances, comparing 2020 to 2019.

Main Results:

  • Overall PED attendances decreased by 34% in 2020 compared to 2019 (98,256 vs 148,640).
  • Attendance for babies under 30 days (BUD) dropped by only 6% in 2020 compared to 2019 (3,922 vs 4,162).
  • Monthly and site-specific variations in attendance were minimal.

Conclusions:

  • Paediatric emergency department attendances significantly decreased during the COVID-19 pandemic.
  • Babies under 30 days (BUD) experienced a disproportionately smaller reduction in PED attendances compared to the general paediatric population.

Keywords:
COVID-19data collectionhealth services researchneonatology

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