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A Comparative Analysis of Pediatric Emergency Department Admissions Before and During the COVID-19 Pandemic
Osman Fırat Çalışkan1, Gül Trabzon1, Ufuk Utku Güllü1
1Department of Pediatrics, Faculty of Medicine, Hatay Mustafa Kemal University, Antakya, TUR.
Insights
Pediatric emergency department visits significantly decreased during the COVID-19 pandemic. Pandemic measures reduced infectious diseases like respiratory infections, altering emergency service utilization patterns.
Area of Science:
- Pediatrics
- Epidemiology
- Public Health
Background:
- The COVID-19 pandemic significantly impacted healthcare systems globally.
- Understanding its effect on pediatric emergency services is crucial for resource allocation.
Purpose of the Study:
- To evaluate the impact of the COVID-19 pandemic on pediatric emergency service utilization.
- To compare patient demographics, complaints, and diagnoses before and during the pandemic.
Main Methods:
- Retrospective analysis of 16,730 non-traumatic pediatric patients (1 month to 18 years).
- Comparison of data from the pre-pandemic and pandemic periods at Hatay Mustafa Kemal University Pediatric Emergency Polyclinic.
- Analysis included demographics, admission times, triage, complaints, and diagnoses.
Main Results:
- A significant decrease in pediatric emergency department admissions was observed during the pandemic.
- Statistically significant differences were noted in patient age, age groups, admission hours, triage classification, complaints, and diagnoses.
- Incidence of infectious diseases, including respiratory tract infections, decreased.
Conclusions:
- The COVID-19 pandemic led to a substantial reduction in pediatric emergency visits.
- Pandemic-related changes in healthcare-seeking behaviors necessitate further epidemiological studies for optimizing pediatric emergency services in Turkey.
Abstract:
Objectives This study aims to evaluate the outbreak's impact on emergency services, with findings obtained from patients who applied to our pediatric emergency service before and during the pandemic period. Methods In this study, the Pediatric Emergency Polyclinic of Hatay Mustafa Kemal University (MKU) Department of Pediatrics was evaluated during the COVID-19 pre-pandemic period and the COVID-19 pandemic period. Demographic features, complaints, discharge situations, diagnostic groups, and diagnoses of 16,730 non-traumatic patients one month to 18 years old were compared retrospectively. Results Comparing the pre-pandemic period and the pandemic period, it was determined that there was a statistically significant difference in the average age of patients, age groups, admission hours, triage classification, complaints, and diagnoses seen. Conclusion According to the findings obtained in the study, pediatric emergency department admissions decreased significantly during the pandemic period. As a result of the pandemic measures taken, the incidence of diseases caused by infectious agents, such as respiratory tract infections, decreased. The change in pediatric emergency service habits with the pandemic highlights the importance of conducting more comprehensive epidemiological studies in terms of more efficient and effective use of pediatric emergency health services in Turkey.
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