Impact of non‐pharmaceutical interventions for the COVID‐19 pandemic on emergency department patient trends in Japan: a retrospective analysis

Sekine, Ichiro; Uojima, Haruki; Koyama, Hiroshi; Kamio, Tadashi; Sato, Morihiko; Yamamoto, Tadatsugu; Fukaguchi, Kiyomitsu; Fukui, Hiroyuki; Yamagami, Hiroshi

doi:10.1002/ams2.603

Cited by 14 publications

(11 citation statements)

References 15 publications

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“…1 As a result, traffic accidents, labor-related accidents, and sports-related injuries decreased under the state of emergency. [2][3][4][5] In contrast, many hospitals in areas affected by the COVID-19 pandemic restricted their provision of emergency medical care due to the countermeasures against nosocomial infection or the redistribution of limited human resources, which made emergency transportation to hospitals more difficult. 3 Many studies have dealt with mild-to-moderate trauma patients under the COVID-19 pandemic, but few have addressed major trauma.…”

Section: Introductionmentioning

confidence: 99%

Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study

Ojima

Ishida

Katayama

et al. 2023

Acute Medicine & Surgery

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Aim The nationwide impact of the coronavirus disease (COVID‐19) pandemic on major trauma in Japan is unknown. The nationwide registry‐based data of the Japanese Trauma Data Bank were analyzed to elucidate the impact of COVID‐19 on the epidemiology, treatment, and outcomes of major trauma patients. Methods Among patients transported directly from the injury site by ambulance with an Injury Severity Score of ≥16, we compared patients managed from April to December in 2019 to those managed from April to December in 2020. Results In total, 9792 patients were included in this study (2019, n = 5194; 2020, n = 4598). There were no significant differences in age or sex, but there were significant differences between 2019 and 2020 in the rates of “self‐injury (suicide)”, “motor vehicle accident”, “fall from height”, “fall down”, and “fall to the ground”, which are factors associated with patient age. Injury severity in 2019 and 2020 did not differ to a statistically significant extent, but the rate of major spinal injury increased. The time of prehospital care significantly increased in 2020 compared to 2019. There was no noticeable change in hospital treatment or in‐hospital mortality between 2019 and 2020. Conclusion This study suggests that the COVID‐19 pandemic might have altered the injuries of major trauma; however, medical services for major trauma were well supplied in Japan in 2020.

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Section: Introductionmentioning

confidence: 99%

Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study

Ojima

Ishida

Katayama

et al. 2023

Acute Medicine & Surgery

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“…[ [1] , [2] , [3] , [4] ] A systematic review including multiple countries concluded that the introduction of non-pharmaceutical interventions, aimed to reduce COVID transmission, also resulted in reduced flu burden. [ 5 ] Reductions in overall ED visits have also been reported following the pandemic and the public health measures in place, in Japan [ 6 ] and in the US. [ 7 ] Such reduction was also documented in pediatric ED visits.…”

Section: Introductionmentioning

confidence: 99%

The effect of the COVID-19 pandemic on non-COVID respiratory ED visits in Israel

Haklai

Applbaum

Myers

et al. 2022

The American Journal of Emergency Medicine

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Background The COVID 19 pandemic has had a crucial effect on the patterns of disease and treatment in the healthcare system. This study examines the effect of the COVID-19 pandemic on respiratory ED visits and admissions broken down by age group and respiratory diagnostic category. Methods Data on non-COVID related ED visits and hospitalizations from the ED were obtained in a retrospective analysis for 29 acute care hospitals, covering 98% of ED beds in Israel, and analyzed by 5 age groups: under one-year-old, 1–17, 18–44, 45–74 and 75 and over. Diagnoses were classified into three categories: Upper respiratory tract infections (URTI), pneumonia, and COPD or asthma. Data were collected for the whole of 2020, and compared for each month to the average number of cases in the three pre-COVID years (2017–2019). Results In 2020 compared to 2017–2019, there was a decrease of 34% in non-COVID ED visits due to URTI, 40% for pneumonia and a 35% decrease for COPD and asthma. Reductions occurred in most age groups, but were most marked among infants under a year, during and following lockdowns, with an 80% reduction. Patients over 75 years old displayed a marked drop in URTI visits. Pediatric asthma visits fell during lockdowns, but spiked when restrictions were lifted, accompanied by a higher proportion admitted. The percent of admissions from the ED visits remained mostly stable for pneumonia; the percent of young adults admitted with URTI decreased significantly from March to October. Conclusions Changing patterns of ED use were probably due to a combination of a reduced rate of viral diseases, availability of additional virtual services, and avoidance of exposure to the ED environment. Improved hygiene measures during peaks of respiratory infections could be implemented in future to reduce respiratory morbidity; and continued provision of remote health services may reduce overuse of ED services for mild cases.

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“…We applaud Lai et al in this Letter to the Editor for exploring changes in acute care utilization in Taiwan related to COVID-19. Their result, that ED visits fell by between 21.3% and 36.3% compared to prior years during the Lunar New Year Holiday in 2020, and that they fell by even larger margins for influenza-like-illnesses, is comparable to findings from the United States [ 1 , 2 ], the UK [ 3 ], and Japan [ 4 ]. In Taiwan, COVID-19 control measures likely contributed to a change in the baseline population incidence of pathologies with infectious etiology.…”

mentioning

confidence: 70%

The authors respond: the impact of COVID-19 on ED utilization, case mix and functions

Janke¹,

Venkatesh²

2021

The American Journal of Emergency Medicine

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Impact of non‐pharmaceutical interventions for the COVID‐19 pandemic on emergency department patient trends in Japan: a retrospective analysis

Cited by 14 publications

References 15 publications

Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study

Impact of the COVID‐19 pandemic on epidemiology, treatment, and outcome of major trauma in Japan in 2020: a retrospective observational nationwide registry‐based study

The effect of the COVID-19 pandemic on non-COVID respiratory ED visits in Israel

The authors respond: the impact of COVID-19 on ED utilization, case mix and functions

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