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

Detalhes bibliográficos
Autor(a) principal: Lopes, Sílvia
Data de Publicação: 2023
Outros Autores: Soares, Patrícia, Santos Sousa, Joana, Rocha, João Victor, Boto, Paulo, Santana, Rui
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/151589
Resumo: Funding 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.
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spelling Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugalan interrupted time series analysis until July 2021COVID-19emergency servicehospitalinterrupted time series analysisEmergency MedicineFunding 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.Objectives: 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.Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNLopes, SílviaSoares, PatríciaSantos Sousa, JoanaRocha, João VictorBoto, PauloSantana, Rui2023-04-04T22:18:52Z2023-022023-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/151589eng2688-1152PURE: 57648134https://doi.org/10.1002/emp2.12864info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:34:02Zoai:run.unl.pt:10362/151589Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:54:39.036223Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugal
an interrupted time series analysis until July 2021
title Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugal
spellingShingle Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugal
Lopes, Sílvia
COVID-19
emergency service
hospital
interrupted time series analysis
Emergency Medicine
title_short Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugal
title_full Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugal
title_fullStr Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugal
title_full_unstemmed Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugal
title_sort Effect of the COVID-19 pandemic on the frequency of emergency department visits in Portugal
author Lopes, Sílvia
author_facet Lopes, Sílvia
Soares, Patrícia
Santos Sousa, Joana
Rocha, João Victor
Boto, Paulo
Santana, Rui
author_role author
author2 Soares, Patrícia
Santos Sousa, Joana
Rocha, João Victor
Boto, Paulo
Santana, Rui
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Lopes, Sílvia
Soares, Patrícia
Santos Sousa, Joana
Rocha, João Victor
Boto, Paulo
Santana, Rui
dc.subject.por.fl_str_mv COVID-19
emergency service
hospital
interrupted time series analysis
Emergency Medicine
topic COVID-19
emergency service
hospital
interrupted time series analysis
Emergency Medicine
description Funding 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.
publishDate 2023
dc.date.none.fl_str_mv 2023-04-04T22:18:52Z
2023-02
2023-02-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/151589
url http://hdl.handle.net/10362/151589
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2688-1152
PURE: 57648134
https://doi.org/10.1002/emp2.12864
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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