Abstract:
Objective:To study the impact of COVID-19 pandemic lockdown on avoided emergency department visits and consequent hospitalizations. Study design:An observational retrospective design was used to investigate avoided visits and hospitalizations of an departmental emergency department combined with a clustering approach on multimorbidity patterns. Methods:A multimorbidity clustering technique was applied on the emergency department diagnostics to segment the population in diseases clusters. Global visits and hospitalizations from an emergency department during the 2020 lockdown were put in perspective with the same period during 2019. Using a comparison with the five previous years, avoided hospitalizations per inhabitants during the lockdown were estimated for each diseases cluster. Results:During the 8 weeks of lockdown, the number of emergency department visits have been reduced by 41.47% and resultant hospitalizations by 28.50% compared to 2019. The retrospective study showed that 14 of 17 diseases clusters had a statistically significant reduction in hospitalizations with a pronounced effect on lower acuity diagnoses and middle-aged patient, leading to 293 avoided hospitalizations per 100,000 inhabitants compared to the 5 previous years and to the 85.8 COVID-19 hospitalizations per 100,000 inhabitants. Conclusion:Although specific to a regional context of pandemic containment, the study suggest that COVID-19 lockdown had beneficial effects on the crowding situation of the emergency departments and hospitals with avoidance effects primarily link to reduced risks.
journal_name
Public Health Pract (Oxf)journal_title
Public health in practice (Oxford, England)authors
Wartelle A,Mourad-Chehade F,Yalaoui F,Chrusciel J,Laplanche D,Sanchez Sdoi
10.1016/j.puhip.2021.100109keywords:
["COVID-19","Cluster analysis","Emergency medical services","Health services administration","Retrospective studies"]subject
Has Abstractpub_date
2021-11-01 00:00:00pages
100109issn
2666-5352pii
S2666-5352(21)00034-3journal_volume
2pub_type
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文献大全abstract::COVID-19 has resulted in large number of mortalities across the globe. However, Cambodia has recorded low number of COVID-19 cases with no death. A number of factors buttress the accuracy of this phenomenon such as significant support from international health partners, culture of wearing a face mask when sick, timely...
journal_title:Public health in practice (Oxford, England)
pub_type: 杂志文章
doi:10.1016/j.puhip.2020.100073
更新日期:2021-11-01 00:00:00