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Emergency medical service transports during the COVID-19 pandemic : A retrospective population-based study in an

Carina Polzer1, Lukas Poyntner2, Matthias Groell3

  • 1Department of Pediatrics, Academic Teaching Hospital, Landeskrankenhaus Feldkirch, 6800, Feldkirch, Austria.

Wiener Medizinische Wochenschrift (1946)
|January 21, 2026
PubMed

Insights

The COVID-19 pandemic significantly reduced pediatric emergency transports in Austria, but disease severity and types remained unchanged. Enhanced documentation was noted, though infant monitoring needs improvement.

Area of Science:

  • Pediatric Emergency Medicine
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic led to widespread lockdowns impacting healthcare systems globally.
  • Austria experienced multiple lockdowns, significantly altering social and economic activities.
  • The pandemic's effect on pediatric emergency medical services (EMS) requires detailed examination.

Purpose of the Study:

  • To analyze pediatric emergency transports in Vorarlberg, Austria, during the COVID-19 pandemic.
  • To assess the impact of pandemic-related lockdowns on emergency transport patterns.
  • To compare disease characteristics and severity between lockdown and non-lockdown periods.

Main Methods:

  • A population-based study analyzed 630 pediatric patients (28 days to 18 years) from EMS Vorarlberg.
  • Data included age, diagnosis, National Advisory Committee for Aeronautics (NACA) score, vital signs, interventions, and transport time.
  • Medical records from January 2020 to May 2021 were compared between lockdown and non-lockdown periods.

Main Results:

  • A significant reduction in pediatric emergency transports was observed during lockdown periods (p=0.021).
  • No significant differences in disease distribution or severity (NACA score) were found between lockdown and non-lockdown periods, or compared to pre-pandemic data.
  • Vital sign documentation increased, but monitoring in the youngest age group decreased significantly (p<0.001).

Conclusions:

  • The COVID-19 pandemic significantly decreased pediatric emergency transports in Austria, without altering disease patterns.
  • Heightened alertness may have increased documentation, but infant and young child evaluation remains challenging.
  • Pandemic lockdowns profoundly impacted healthcare utilization for pediatric emergencies.
Abstract

Keywords:
LockdownNACA scorePandemicPediatric emergency transports

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