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Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugal

2023-02Artigo científico Acesso aberto
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dc.contributor.authorLopes, Sílvia
dc.contributor.authorSoares, Patrícia
dc.contributor.authorSantos Sousa, Joana
dc.contributor.authorRocha, João Victor
dc.contributor.authorBoto, Paulo
dc.contributor.authorSantana, Rui
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblElsevier
dc.date.accessioned2023-04-04T22:18:52Z
dc.date.available2023-04-04T22:18:52Z
dc.date.issued2023-02
dc.descriptionFunding Information: This research was funded by Fundação para a Ciência e a Tecnologia ‐ RESEARCH 4 COVID‐19 N° 136 ‐ Produção e financiamento hospitalar no período pós‐pandemia. Publisher Copyright: © 2023 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.
dc.description.abstractObjectives: This study aims to evaluate the effect of the COVID-19 pandemic on the frequency of emergency department (ED) visits in Portugal between March 2020 and July 2021. Methods: We used data on the monthly number of visits for all public hospitals’ EDs from mainland Portugal between January 2017 and July 2021. We studied the impact of the pandemic overall, by type of ED (general, pediatric, and obstetric) and by Manchester Triage System color (red, orange, yellow, green, and blue) using an interrupted time series analysis. The prepandemic period corresponded to the months from January 2017 to February 2020 and the pandemic period to the months from March 2020 to July 2021. Results: We observed over 26 million ED visits, the majority in general EDs (74.0%) and triaged yellow (48.4%) or green (38.4%). During the pandemic period, ED visits decreased 45.7% (95% confidence interval [CI]: –39.8% to –51.2%) and pediatric ED visits decreased by 72.4% (95% CI: –64.6% to –78.6%). A decrease was observed for all colors but tended to be progressively smaller as the priority increased. There was an increase in ED visits during the pandemic period (2.3%; 95% CI: 1.4% to 3.2%), eventually returning to prepandemic values. Conclusion: Our data indicate a considerable and long-lasting effect of the COVID-19 pandemic affecting mainly pediatric and milder cases, which were returning toward prepandemic values as the pandemic progressed. In a country with frequent use of EDs, the health system may need to be prepared to respond to prepandemic baseline ED demand, together with additional demand because of long-term sequels of COVID-19 cases and delayed care for chronic and acute conditions.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1085333
dc.identifier.doi10.1002/emp2.12864
dc.identifier.issn2688-1152
dc.identifier.otherPURE: 57648134
dc.identifier.otherPURE UUID: b249b964-154c-4708-bb95-31107d4b4ebf
dc.identifier.otherScopus: 85148638413
dc.identifier.otherWOS: 000910061300001
dc.identifier.otherPubMed: 36643598
dc.identifier.otherPubMedCentral: PMC9833280
dc.identifier.otherORCID: /0000-0002-6048-396X/work/133365286
dc.identifier.urihttp://hdl.handle.net/10362/151589
dc.identifier.urlhttps://www.scopus.com/pages/publications/85148638413
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCOVID-19
dc.subjectemergency service
dc.subjecthospital
dc.subjectinterrupted time series analysis
dc.subjectEmergency Medicine
dc.titleEffect of the COVID-19 pandemic on the frequency of emergency department visits in Portugalen
dc.title.subtitlean interrupted time series analysis until July 2021en
dc.typejournal article
degois.publication.issue1
degois.publication.titleJournal of the American College of Emergency Physicians Open
degois.publication.volume4
dspace.entity.typePublication
rcaap.rightsopenAccess

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