Nonurgent Visits to the Pediatric Emergency Department before and during the First Peak of the COVID-19 Pandemic

Background. Nonurgent visits in pediatric Emergency Departments are a growing burden. In order to find predictors for those nonurgent visits, we performed a retrospective analysis of unscheduled visits at the Pediatric Emergency Department of the University Hospital of Bonn, Germany, in the year 201...

Full description

Saved in:
Bibliographic Details
Main Authors: Laura Guckert, Heiko Reutter, Nadia Saleh, Rainer Ganschow, Andreas Müller, Fabian Ebach
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2022/7580546
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832558297301909504
author Laura Guckert
Heiko Reutter
Nadia Saleh
Rainer Ganschow
Andreas Müller
Fabian Ebach
author_facet Laura Guckert
Heiko Reutter
Nadia Saleh
Rainer Ganschow
Andreas Müller
Fabian Ebach
author_sort Laura Guckert
collection DOAJ
description Background. Nonurgent visits in pediatric Emergency Departments are a growing burden. In order to find predictors for those nonurgent visits, we performed a retrospective analysis of unscheduled visits at the Pediatric Emergency Department of the University Hospital of Bonn, Germany, in the year 2017. Additionally, we compared these findings to unscheduled visits during the first peak of the worldwide pandemic of the Coronavirus disease 2019, to see if there would be an effect on nonurgent pediatric Emergency Department attendances. Methods. For our retrospective cohort study, we analyzed more than 5.000 visits at the pediatric Emergency Department of the University Hospital of Bonn, Germany, before and during the first peak of the ongoing worldwide pandemic of the Coronavirus disease 2019, particularly with regard to their urgency. Data included gender, age, zip code, urgency, and preexisting conditions. Results. Our study shows that more than half of unscheduled pediatric Emergency Department visits (69%) at the University Hospital in Bonn are for nonurgent reasons, with short living distance being a factor to present children to a pediatric Emergency Department, even with minor complaints. During the first peak of the pandemic of the Coronavirus disease 2019, nonurgent visits decreased significantly, potentially due to hesitation to attend a pediatric Emergency Department with minor issues, fearing an infection with SARS-CoV-2 at the hospital. Conclusion. Many people use pediatric Emergency Departments for nonemergency complaints. In order to address the reasons for nonurgent visits to pediatric Emergency Departments and to prevent parents from doing so, further studies and targeted education concepts for parents are needed.
format Article
id doaj-art-1bfff52101d6413b834617fae3984a85
institution Kabale University
issn 1687-9759
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series International Journal of Pediatrics
spelling doaj-art-1bfff52101d6413b834617fae3984a852025-02-03T01:32:37ZengWileyInternational Journal of Pediatrics1687-97592022-01-01202210.1155/2022/7580546Nonurgent Visits to the Pediatric Emergency Department before and during the First Peak of the COVID-19 PandemicLaura Guckert0Heiko Reutter1Nadia Saleh2Rainer Ganschow3Andreas Müller4Fabian Ebach5Dept. of PediatricsDiv. of Neonatology and Pediatric Intensive Care MedicineDept. of PediatricsDept. of PediatricsDept. of Neonatology and Pediatric Intensive CareDept. of Neonatology and Pediatric Intensive CareBackground. Nonurgent visits in pediatric Emergency Departments are a growing burden. In order to find predictors for those nonurgent visits, we performed a retrospective analysis of unscheduled visits at the Pediatric Emergency Department of the University Hospital of Bonn, Germany, in the year 2017. Additionally, we compared these findings to unscheduled visits during the first peak of the worldwide pandemic of the Coronavirus disease 2019, to see if there would be an effect on nonurgent pediatric Emergency Department attendances. Methods. For our retrospective cohort study, we analyzed more than 5.000 visits at the pediatric Emergency Department of the University Hospital of Bonn, Germany, before and during the first peak of the ongoing worldwide pandemic of the Coronavirus disease 2019, particularly with regard to their urgency. Data included gender, age, zip code, urgency, and preexisting conditions. Results. Our study shows that more than half of unscheduled pediatric Emergency Department visits (69%) at the University Hospital in Bonn are for nonurgent reasons, with short living distance being a factor to present children to a pediatric Emergency Department, even with minor complaints. During the first peak of the pandemic of the Coronavirus disease 2019, nonurgent visits decreased significantly, potentially due to hesitation to attend a pediatric Emergency Department with minor issues, fearing an infection with SARS-CoV-2 at the hospital. Conclusion. Many people use pediatric Emergency Departments for nonemergency complaints. In order to address the reasons for nonurgent visits to pediatric Emergency Departments and to prevent parents from doing so, further studies and targeted education concepts for parents are needed.http://dx.doi.org/10.1155/2022/7580546
spellingShingle Laura Guckert
Heiko Reutter
Nadia Saleh
Rainer Ganschow
Andreas Müller
Fabian Ebach
Nonurgent Visits to the Pediatric Emergency Department before and during the First Peak of the COVID-19 Pandemic
International Journal of Pediatrics
title Nonurgent Visits to the Pediatric Emergency Department before and during the First Peak of the COVID-19 Pandemic
title_full Nonurgent Visits to the Pediatric Emergency Department before and during the First Peak of the COVID-19 Pandemic
title_fullStr Nonurgent Visits to the Pediatric Emergency Department before and during the First Peak of the COVID-19 Pandemic
title_full_unstemmed Nonurgent Visits to the Pediatric Emergency Department before and during the First Peak of the COVID-19 Pandemic
title_short Nonurgent Visits to the Pediatric Emergency Department before and during the First Peak of the COVID-19 Pandemic
title_sort nonurgent visits to the pediatric emergency department before and during the first peak of the covid 19 pandemic
url http://dx.doi.org/10.1155/2022/7580546
work_keys_str_mv AT lauraguckert nonurgentvisitstothepediatricemergencydepartmentbeforeandduringthefirstpeakofthecovid19pandemic
AT heikoreutter nonurgentvisitstothepediatricemergencydepartmentbeforeandduringthefirstpeakofthecovid19pandemic
AT nadiasaleh nonurgentvisitstothepediatricemergencydepartmentbeforeandduringthefirstpeakofthecovid19pandemic
AT rainerganschow nonurgentvisitstothepediatricemergencydepartmentbeforeandduringthefirstpeakofthecovid19pandemic
AT andreasmuller nonurgentvisitstothepediatricemergencydepartmentbeforeandduringthefirstpeakofthecovid19pandemic
AT fabianebach nonurgentvisitstothepediatricemergencydepartmentbeforeandduringthefirstpeakofthecovid19pandemic