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Year 2022, Volume: 75 Issue: 3, 421 - 427, 18.10.2022

Yaşar Çatal

Abstract

Ethical Statement

Etik Kurul Onayı: Kayseri Şehir Hastanesi Klinik Araştırmalar Etik Kurulu’ndan etik kurul onayı (karar no: 406, tarih: 03.06.2021) alınmıştır. Hasta Onayı: Retrospektif çalışmadır. Hakem Değerlendirmesi: Editörler kurulunun içinden ve dışından olan kişiler tarafından değerlendirilmiştir

Project Number

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References

  • 1. Organization WH. Coronavirus disease 2019 (COVID-19): situation report, 94. 2020. Retrieved from https://www.who.int/docs/defaultsource/ coronaviruse/situation-reports/20200423-sitrep-94-covid-19. pdf?sfvrsn=b8304bf0_4.
  • 2. WHO Director-General’s opening remarks at the media briefing on COVID19. Retrieved from https://www.who.int/director-general/speeches/detail/whodirector- general-s-opening-remarks-at-the-media-briefing-on-covid-19- --11-march-2020
  • 3. WHO Coronavirus (COVID-19) Dashboard. Retrieved from https://covid19. who.int/. Date of access: 24.01.2022.
  • 4. Callaway E, Cyranoski D, Mallapaty S, et al. The coronavirus pandemic in five powerful charts. Nature. 2020;579:482-483.
  • 5. Kelly E, Firth Z. The Health Foundation. How Is COVID-19 Changing the Use of Emergency Care?. Retrieved from https://www.health.org.uk/news-andcomment/ charts-and-infographics/how-is-covid-19-changing-the-useof- emergency-care.
  • 6. Adjemian J, Hartnett KP, Kite-Powell A, et al. Update: COVID-19 Pandemic- Associated Changes in Emergency Department Visits - United States, December 2020-January 2021. MMWR Morb Mortal Wkly Rep. 2021;70:552- 556.
  • 7. Bres Bullrich M, Fridman S, Mandzia JL, et al. COVID-19: Stroke Admissions, Emergency Department Visits, and Prevention Clinic Referrals. Can J Neurol Sci. 2020;47:693-696.
  • 8. Rodriguez-Leor O, Cid-Alvarez B, Ojeda S, et al. Impact of the COVID-19 pandemic on interventional cardiology activity in Spain. REC Interv Cardiol. 2020;2:82-89.
  • 9. Göksoy B, Akça MT, Inanç ÖF. The impacts of the COVID-19 outbreak on emergency department visits of surgical patients. Ulus Travma Acil Cerrahi Derg. 2020;26:685-692.
  • 10. Mulholland RH, Wood R, Stagg HR, Fischbacher C, et al. Impact of COVID-19 on accident and emergency attendances and emergency and planned hospital admissions in Scotland: an interrupted time-series analysis. J R Soc Med. 2020;113:444-453.
  • 11. Clinical Classifications Software Refined (CCSR) for ICD-10-PCS Procedures. Healthcare Cost and Utilization Project (HCUP). Retrieved from https:// www.hcup-us.ahrq.gov/toolssoftware/ccsr/prccsr.jsp
  • 12. Pines JM, Zocchi MS, Black BS, et al. Characterizing pediatric emergency department visits during the COVID-19 pandemic. Am J Emerg Med. 2021;41:201-204.
  • 13. Fidancı İ, Taşar MA, Akıntuğ B, et al. The impact of the COVID-19 pandemic on paediatric emergency service. Int J Clin Pract. 2021;75:e14398.
  • 14. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497-506.
  • 15. Kim HS, Cruz DS, Conrardy MJ, et al. Emergency Department Visits for Serious Diagnoses During the COVID-19 Pandemic. Acad Emerg Med. 2020;27:910-913.
  • 16. Yeo C, Kaushal S, Yeo D. Enteric involvement of coronaviruses: is faecaloraltransmission of SARS-CoV-2 possible? Lancet Gastroenterol Hepatol. 2020;5:335-337.
  • 17. Dan F, Jingdong M, Jialun G, et al. Manifestations of digestive system in hospitalized patients with novel coronavirus pneumonia in Wuhan, China: a single-center, descriptive study. Chin J Dig. 2020;12:151-156.
  • 18. Rausei S, Ferrara F, Zurleni T, et al. Dramatic decrease of surgical emergencies during COVID-19 outbreak. J Trauma Acute Care Surg. 2020;89:1085-1091.
  • 19. Chen X, Laurent S, Onur OA, et al. A systematic review of neurologicalsymptoms and complications of COVID-19. J Neurol. 2021;268:392-402.
  • 20. Bamaga AK, Alharbi O, Bajuaifer M, et al. The Effect of the COVID-19 Pandemic on Emergency Department Visits for Neurological Diseases in Saudi Arabia. Cureus. 2020;12:e12200 . 21. Heppner Z, Shreffler J, Polites A, et al. COVID-19 and emergency department volume: The patients return but have different characteristics. Am J Emerg Med. 2021;45:385-388.
  • 22. Schwarz V, Mahfoud F, Lauder L, et al. Decline of emergency admissions for cardiovascular and cerebrovascular events after the outbreak of COVID-19. Clin Res Cardiol. 2020;109:1500-1506.
  • 23. Montagnon R, Rouffilange L, Agard G, et al. Impact of the COVID-19 Pandemic on Emergency Department Use: Focus on Patients Requiring Urgent Revascularization. J Emerg Med. 2021;60:229-236.
  • 24. Varga Z, Flammer AJ, Steiger P, et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet. 2020;395:1417-1418.
  • 25. Klok FA, Kruip MJHA, van der Meer NJM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191:145-147.
  • 26. Nuñez JH, Sallent A, Lakhani K, et al. Impact of the COVID-19 Pandemic on an Emergency Traumatology Service: Experience at a Tertiary Trauma Centre in Spain. Injury. 2020;51:1414-1418.
  • 27. Ribau A, Vale J, Xará-Leite F, et al. Impact of COVID-19 pandemic and national lockdown in an orthopaedic and traumatology department-a comparison with the homologous period of 2019. Porto Biomed J. 2021;6:e109.
  • 28. Comelli I, Scioscioli F, Cervellin G. Impact of the COVID-19 epidemic on census, organization and activity of a large urban Emergency Department. Acta Biomed. 2020;91:45-49.
  • 29. Castagneto-Gissey L, Casella G, Russo MF, et al. Impact of COVID-19 outbreak on emergency surgery and emergency department admissions: an Italian level 2 emergency department experience. Br J Surg. 2020;107:e374-e375

The Impact of COVID-19 Pandemic on Emergency Department Visits

Year 2022, Volume: 75 Issue: 3, 421 - 427, 18.10.2022

Yaşar Çatal

Abstract

Objectives: It was aimed to examine the impact of coronavirus disease-2019 (COVID-19) on admissions to emergency department by comparing emergency department patient visits during the pre-COVID-19 pandemic period and the pandemic period.

Materials and Methods: In order to evaluate the impact of the COVID-19 pandemic on emergency department visits, emergency department visits one year before the first pandemic case in Turkey (pre-pandemic period) and one year after the first case (pandemic period) were compared.Demographic data of the patients were collected retrospectively. The reasons for the visits of patients to the emergency department were recorded by examining the International Classification of Diseases, Tenth Revision (ICD-10) code ICD-10 codes were divided into 10 main categories in clinically significant groups.

Results: A total of 917,335 patients were admitted to the emergency department between the dates specified as the study period of these patients, 65.65% (n=602,231) were in the pre-pandemic period and 34.35% (n=315,104) were in the pandemic period. It was observed that there was a 47.7% decrease in emergency department visits during the pandemic period compared to the pre-pandemic period. Also, during the pandemic period, admissions to the emergency department concerning neurological, respiratory, genitourinary, trauma, gastrointestinal, cardiovascular, muscleskeletal, eye diseases, ear diseases, and other diagnoses of diseases showed a reduction of 46.7%, 46.7%, 39.2%, 38.2%, 67.8%, 43.4%, 29.2%, 49.6%, 72.6%, and 54%, respectively.

Conclusion: The COVID-19 pandemic has significantly reduced emergency department visits for all disease diagnostic groups. The effect of this situation on morbidity and mortality in patients will be revealed in future studies.

Keywords

COVID-19 Emergency Service Pandemic

Supporting Institution

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Project Number

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Thanks

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References

  • 1. Organization WH. Coronavirus disease 2019 (COVID-19): situation report, 94. 2020. Retrieved from https://www.who.int/docs/defaultsource/ coronaviruse/situation-reports/20200423-sitrep-94-covid-19. pdf?sfvrsn=b8304bf0_4.
  • 2. WHO Director-General’s opening remarks at the media briefing on COVID19. Retrieved from https://www.who.int/director-general/speeches/detail/whodirector- general-s-opening-remarks-at-the-media-briefing-on-covid-19- --11-march-2020
  • 3. WHO Coronavirus (COVID-19) Dashboard. Retrieved from https://covid19. who.int/. Date of access: 24.01.2022.
  • 4. Callaway E, Cyranoski D, Mallapaty S, et al. The coronavirus pandemic in five powerful charts. Nature. 2020;579:482-483.
  • 5. Kelly E, Firth Z. The Health Foundation. How Is COVID-19 Changing the Use of Emergency Care?. Retrieved from https://www.health.org.uk/news-andcomment/ charts-and-infographics/how-is-covid-19-changing-the-useof- emergency-care.
  • 6. Adjemian J, Hartnett KP, Kite-Powell A, et al. Update: COVID-19 Pandemic- Associated Changes in Emergency Department Visits - United States, December 2020-January 2021. MMWR Morb Mortal Wkly Rep. 2021;70:552- 556.
  • 7. Bres Bullrich M, Fridman S, Mandzia JL, et al. COVID-19: Stroke Admissions, Emergency Department Visits, and Prevention Clinic Referrals. Can J Neurol Sci. 2020;47:693-696.
  • 8. Rodriguez-Leor O, Cid-Alvarez B, Ojeda S, et al. Impact of the COVID-19 pandemic on interventional cardiology activity in Spain. REC Interv Cardiol. 2020;2:82-89.
  • 9. Göksoy B, Akça MT, Inanç ÖF. The impacts of the COVID-19 outbreak on emergency department visits of surgical patients. Ulus Travma Acil Cerrahi Derg. 2020;26:685-692.
  • 10. Mulholland RH, Wood R, Stagg HR, Fischbacher C, et al. Impact of COVID-19 on accident and emergency attendances and emergency and planned hospital admissions in Scotland: an interrupted time-series analysis. J R Soc Med. 2020;113:444-453.
  • 11. Clinical Classifications Software Refined (CCSR) for ICD-10-PCS Procedures. Healthcare Cost and Utilization Project (HCUP). Retrieved from https:// www.hcup-us.ahrq.gov/toolssoftware/ccsr/prccsr.jsp
  • 12. Pines JM, Zocchi MS, Black BS, et al. Characterizing pediatric emergency department visits during the COVID-19 pandemic. Am J Emerg Med. 2021;41:201-204.
  • 13. Fidancı İ, Taşar MA, Akıntuğ B, et al. The impact of the COVID-19 pandemic on paediatric emergency service. Int J Clin Pract. 2021;75:e14398.
  • 14. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497-506.
  • 15. Kim HS, Cruz DS, Conrardy MJ, et al. Emergency Department Visits for Serious Diagnoses During the COVID-19 Pandemic. Acad Emerg Med. 2020;27:910-913.
  • 16. Yeo C, Kaushal S, Yeo D. Enteric involvement of coronaviruses: is faecaloraltransmission of SARS-CoV-2 possible? Lancet Gastroenterol Hepatol. 2020;5:335-337.
  • 17. Dan F, Jingdong M, Jialun G, et al. Manifestations of digestive system in hospitalized patients with novel coronavirus pneumonia in Wuhan, China: a single-center, descriptive study. Chin J Dig. 2020;12:151-156.
  • 18. Rausei S, Ferrara F, Zurleni T, et al. Dramatic decrease of surgical emergencies during COVID-19 outbreak. J Trauma Acute Care Surg. 2020;89:1085-1091.
  • 19. Chen X, Laurent S, Onur OA, et al. A systematic review of neurologicalsymptoms and complications of COVID-19. J Neurol. 2021;268:392-402.
  • 20. Bamaga AK, Alharbi O, Bajuaifer M, et al. The Effect of the COVID-19 Pandemic on Emergency Department Visits for Neurological Diseases in Saudi Arabia. Cureus. 2020;12:e12200 . 21. Heppner Z, Shreffler J, Polites A, et al. COVID-19 and emergency department volume: The patients return but have different characteristics. Am J Emerg Med. 2021;45:385-388.
  • 22. Schwarz V, Mahfoud F, Lauder L, et al. Decline of emergency admissions for cardiovascular and cerebrovascular events after the outbreak of COVID-19. Clin Res Cardiol. 2020;109:1500-1506.
  • 23. Montagnon R, Rouffilange L, Agard G, et al. Impact of the COVID-19 Pandemic on Emergency Department Use: Focus on Patients Requiring Urgent Revascularization. J Emerg Med. 2021;60:229-236.
  • 24. Varga Z, Flammer AJ, Steiger P, et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet. 2020;395:1417-1418.
  • 25. Klok FA, Kruip MJHA, van der Meer NJM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191:145-147.
  • 26. Nuñez JH, Sallent A, Lakhani K, et al. Impact of the COVID-19 Pandemic on an Emergency Traumatology Service: Experience at a Tertiary Trauma Centre in Spain. Injury. 2020;51:1414-1418.
  • 27. Ribau A, Vale J, Xará-Leite F, et al. Impact of COVID-19 pandemic and national lockdown in an orthopaedic and traumatology department-a comparison with the homologous period of 2019. Porto Biomed J. 2021;6:e109.
  • 28. Comelli I, Scioscioli F, Cervellin G. Impact of the COVID-19 epidemic on census, organization and activity of a large urban Emergency Department. Acta Biomed. 2020;91:45-49.
  • 29. Castagneto-Gissey L, Casella G, Russo MF, et al. Impact of COVID-19 outbreak on emergency surgery and emergency department admissions: an Italian level 2 emergency department experience. Br J Surg. 2020;107:e374-e375
There are 28 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Articles
Authors

Yaşar Çatal 0000-0001-9322-0181

Project Number -
Publication Date October 18, 2022
Published in Issue Year 2022 Volume: 75 Issue: 3

Cite

APA Çatal, Y. (2022). The Impact of COVID-19 Pandemic on Emergency Department Visits. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 75(3), 421-427.
AMA Çatal Y. The Impact of COVID-19 Pandemic on Emergency Department Visits. Ankara Üniversitesi Tıp Fakültesi Mecmuası. October 2022;75(3):421-427.
Chicago Çatal, Yaşar. “The Impact of COVID-19 Pandemic on Emergency Department Visits”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75, no. 3 (October 2022): 421-27.
EndNote Çatal Y (October 1, 2022) The Impact of COVID-19 Pandemic on Emergency Department Visits. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75 3 421–427.
IEEE Y. Çatal, “The Impact of COVID-19 Pandemic on Emergency Department Visits”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 75, no. 3, pp. 421–427, 2022.
ISNAD Çatal, Yaşar. “The Impact of COVID-19 Pandemic on Emergency Department Visits”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75/3 (October 2022), 421-427.
JAMA Çatal Y. The Impact of COVID-19 Pandemic on Emergency Department Visits. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022;75:421–427.
MLA Çatal, Yaşar. “The Impact of COVID-19 Pandemic on Emergency Department Visits”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 75, no. 3, 2022, pp. 421-7.
Vancouver Çatal Y. The Impact of COVID-19 Pandemic on Emergency Department Visits. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022;75(3):421-7.
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