t845lv5k

Property	Value
?:abstract	BACKGROUND: Coronavirus disease 2019 (COVID-19) has impacted the provision of health services in all specialties. We aim to study the impact of COVID-19 on the utilization of pediatric hospital services including emergency department (ED) attendances, hospitalizations, diagnostic categories and resource utilization in Singapore. METHODS: We performed a retrospective review of ED attendances and hospital admissions among children < 18 years old from January 1st to August 8th 2020 in a major pediatric hospital in Singapore. Data were analyzed in the following time periods: Pre-lockdown (divided by the change in Disease Outbreak Response System Condition (DORSCON) level), during-lockdown and post-lockdown. We presented the data using proportions and percentage change in mean counts per day with the corresponding 95% confidence intervals (CIs). RESULTS: We attended to 58,367 children with a mean age of 5.1 years (standard deviation, SD 4.6). The mean ED attendance decreased by 331 children/day during lockdown compared to baseline (p < 0.001), attributed largely to a drop in respiratory (% change − 87.9, 95% CI − 89.3 to − 86.3, p < 0.001) and gastrointestinal infections (% change − 72.4, 95%CI − 75.9 to − 68.4, p < 0.001). Trauma-related diagnoses decreased at a slower rate across the same periods (% change − 40.0, 95%CI − 44.3 to − 35.3, p < 0.001). We saw 226 children with child abuse, with a greater proportion of total attendance seen post-lockdown (79, 0.6%) compared to baseline (36, 0.2%) (p < 0.001). In terms of ED resource utilization, there was a decrease in the overall mean number of procedures performed per day during the lockdown compared to baseline, driven largely by a reduction in blood investigations (% change − 73.9, 95%CI − 75.9 to − 71.7, p < 0.001). CONCLUSIONS: We highlighted a significant decrease in infection-related presentations likely attributed to the lockdown and showed that the relative proportion of trauma-related attendances increased. By describing the impact of COVID-19 on health services, we report important trends that may provide guidance when planning resources for future pandemics. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12887-020-02469-z.
is ?:annotates of	<https://research.tib.eu/covid-19/entity/t845lv5k_hasAnnotation_C0008060> <https://research.tib.eu/covid-19/entity/t845lv5k_hasAnnotation_C0043251> <https://research.tib.eu/covid-19/entity/t845lv5k_hasAnnotation_C1825598>
?:creator	<https://research.tib.eu/covid-19/entity/Chong%2C_Shu-Ling%3B_Soo%2C_Jenifer_Shui_Lian%3B_Allen%2C_John_Carson%3B_Ganapathy%2C_Sashikumar%3B_Lee%2C_Khai_Pin%3B_Tyebally%2C_Arif%3B_Yung%2C_Chee_Fu%3B_Thoon%2C_Koh_Cheng%3B_Ng%2C_Yong_Hong%3B_Oh%2C_Jean_Yin%3B_Teoh%2C_Oon_Hoe%3B_Mok%2C_Yee_Hui%3B_Chan%2C_Yoke_Hwee>
?:doi	10.1186/s12887-020-02469-z
?:doi	<https://research.tib.eu/covid-19/entity/10.1186/s12887-020-02469-z>
?:journal	BMC_Pediatr
?:license	cc-by
?:pdf_json_files	document_parses/pdf_json/efd041c4d5201f37fa79cd76829bf4fe1117f9a0.json
?:pmc_json_files	document_parses/pmc_json/PMC7755581.xml.json
?:pmcid	<https://research.tib.eu/covid-19/entity/PMC7755581>
?:pmid	<https://research.tib.eu/covid-19/entity/33353540.0>
?:pmid	33353540.0
?:publication_isRelatedTo_Disease	<https://research.tib.eu/covid-19/entity/COVID-19>
?:sha_id	<https://research.tib.eu/covid-19/entity/efd041c4d5201f37fa79cd76829bf4fe1117f9a0>
?:source	Medline; PMC
?:title	Impact of COVID-19 on pediatric emergencies and hospitalizations in Singapore
?:type	<https://research.tib.eu/covid-19/vocab/Publication>
?:year	2020-12-23

Property

Value

?:abstract

BACKGROUND: Coronavirus disease 2019 (COVID-19) has impacted the provision of health services in all specialties. We aim to study the impact of COVID-19 on the utilization of pediatric hospital services including emergency department (ED) attendances, hospitalizations, diagnostic categories and resource utilization in Singapore. METHODS: We performed a retrospective review of ED attendances and hospital admissions among children < 18 years old from January 1st to August 8th 2020 in a major pediatric hospital in Singapore. Data were analyzed in the following time periods: Pre-lockdown (divided by the change in Disease Outbreak Response System Condition (DORSCON) level), during-lockdown and post-lockdown. We presented the data using proportions and percentage change in mean counts per day with the corresponding 95% confidence intervals (CIs). RESULTS: We attended to 58,367 children with a mean age of 5.1 years (standard deviation, SD 4.6). The mean ED attendance decreased by 331 children/day during lockdown compared to baseline (p < 0.001), attributed largely to a drop in respiratory (% change − 87.9, 95% CI − 89.3 to − 86.3, p < 0.001) and gastrointestinal infections (% change − 72.4, 95%CI − 75.9 to − 68.4, p < 0.001). Trauma-related diagnoses decreased at a slower rate across the same periods (% change − 40.0, 95%CI − 44.3 to − 35.3, p < 0.001). We saw 226 children with child abuse, with a greater proportion of total attendance seen post-lockdown (79, 0.6%) compared to baseline (36, 0.2%) (p < 0.001). In terms of ED resource utilization, there was a decrease in the overall mean number of procedures performed per day during the lockdown compared to baseline, driven largely by a reduction in blood investigations (% change − 73.9, 95%CI − 75.9 to − 71.7, p < 0.001). CONCLUSIONS: We highlighted a significant decrease in infection-related presentations likely attributed to the lockdown and showed that the relative proportion of trauma-related attendances increased. By describing the impact of COVID-19 on health services, we report important trends that may provide guidance when planning resources for future pandemics. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12887-020-02469-z.

is ?:annotates of