2020
DOI: 10.21203/rs.3.rs-29791/v1
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Covid-19 Related Reduction in Paediatric Emergency Healthcare Utilization – A Concerning Trend

Abstract: Background:The COVID-19 pandemic has disrupted healthcare systems worldwide. Besides the direct impact of the virus on morbidity and mortality of patients, the effect of lockdown strategies on health and healthcare utilization become more and more apparent. Little is known on the effect of the pandemic on pediatric healthcare utilization. We examined the impact of the pandemic on pediatric emergency healthcare.Methods: We conducted a monocentric, retrospective analysis of n=5.424 pediatric emergency visits bet… Show more

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Cited by 7 publications
(4 citation statements)
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“…Our findings are not entirely surprising given that respiratory infections are one of the leading causes for acute morbidity amongst resident German pediatric patients as well, and that their rate increases during the colder season [12,13]. An increased spread of communicable diseases at refugee centers and camps with high residential density has been reported [6,14].…”
Section: Discussionsupporting
confidence: 50%
“…Our findings are not entirely surprising given that respiratory infections are one of the leading causes for acute morbidity amongst resident German pediatric patients as well, and that their rate increases during the colder season [12,13]. An increased spread of communicable diseases at refugee centers and camps with high residential density has been reported [6,14].…”
Section: Discussionsupporting
confidence: 50%
“…In the U.S., where most states issued "shelter-in-place" orders, [9] many patients delayed or cancelled necessary healthcare. [10] Due to fear of infection as well as resource-constrained healthcare delivery systems, healthcare utilization significantly dropped globally (e.g., by 38% in severe heart attack patients treated in nine major hospitals in the U.S., [11] 64% in pediatric ER visits in Germany, [12] and 73% to 88% in pediatric ER visits in Italy). [13] Reduced or delayed healthcare utilization during the pandemic can have detrimental health consequences.…”
Section: Introductionmentioning
confidence: 99%
“…Many non-COVID-19 patients delayed or cancelled necessary healthcare [1]. As a result, healthcare utilization significantly dropped globally, e.g., by 38% in severe heart attack patients treated in nine major hospitals in the U.S. [2], and 64% in pediatric emergency department (ED) visits in Germany [3].…”
Section: Introductionmentioning
confidence: 99%