Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome
Background: Emergency Department admissions have changed significantly during the COVID-19 pandemic. Understanding this variation may play a crucial role in rearranging hospital resources for better outcome. In this study, we aimed to assess the impact of COVID-19 pandemic on emergency department a...
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| Format: | Article |
| Language: | English |
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Nepal Health Research Council
2023-07-01
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| Series: | Journal of Nepal Health Research Council |
| Online Access: | https://jnhrc.com.np/index.php/jnhrc/article/view/4264 |
| _version_ | 1797776080123199488 |
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| author | Jagannath Tiwari Pramod Paudel Sujan Adhikari Sharmila Lamichhane Anjali Basnet Kirtipal Subedi Pratiksha Bhattarai Prajwal Paudel |
| author_facet | Jagannath Tiwari Pramod Paudel Sujan Adhikari Sharmila Lamichhane Anjali Basnet Kirtipal Subedi Pratiksha Bhattarai Prajwal Paudel |
| author_sort | Jagannath Tiwari |
| collection | DOAJ |
| description |
Background: Emergency Department admissions have changed significantly during the COVID-19 pandemic. Understanding this variation may play a crucial role in rearranging hospital resources for better outcome. In this study, we aimed to assess the impact of COVID-19 pandemic on emergency department admission and outcome.
Methods: This is a cross-sectional retrospective study conducted at Bharatpur Hospital, Nepal comparing pre- pandemic data of the 4 months (March 24 to July 21, 2019) with the initial 4 months of the pandemic (March 24 to July 21, 2020).
Results: Admission in emergency ward decreased during covid period among female admission (47%vs43%), age-group(0-14)(18%vs12%), Dalit(17%vs11%) p<0.0001.Diagnosis increased during covid for acute abdomen(11%vs13%), animal and insect bite(10%vs13%), psychiatric illness(2%vs6%),poisoning and drug over dose(0.9%vs2.6%)(p<0.0001).The odds for referral(cOR 3.62,95% CI:2.70-4.84), Left against medical advice(cOR 6.03,95% CI:.06-8.94) and death(cOR 3.28,95% CI:1.64-6.68) increased during the covid respectively.
Conclusions: There was decrease in rates of emergency department utilization during the Covid-19 pandemic. Admissions due to trauma, gastrointestinal, respiratory, neurological, musculoskeletal and coronary artery disease showed a decline whereas psychiatric disorders, diabetes and hypertension, animal and insect bites cases increased. Overall, mortality rate was increased.
Keywords: Admission; Covid-19; emergency department
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| first_indexed | 2024-03-12T22:44:50Z |
| format | Article |
| id | doaj.art-0c2175b32a5d4310b32dcf9836a5c11f |
| institution | Directory Open Access Journal |
| issn | 1727-5482 1999-6217 |
| language | English |
| last_indexed | 2024-03-12T22:44:50Z |
| publishDate | 2023-07-01 |
| publisher | Nepal Health Research Council |
| record_format | Article |
| series | Journal of Nepal Health Research Council |
| spelling | doaj.art-0c2175b32a5d4310b32dcf9836a5c11f2023-07-21T06:25:51ZengNepal Health Research CouncilJournal of Nepal Health Research Council1727-54821999-62172023-07-0120410.33314/jnhrc.v20i4.4264Effect of COVID-19 Pandemic on Emergency Department Admissions and OutcomeJagannath Tiwari0Pramod Paudel1Sujan Adhikari2 Sharmila Lamichhane3Anjali Basnet4Kirtipal Subedi5Pratiksha Bhattarai6Prajwal Paudel7Bharatpur Hospital, Bharatpur, Chitwan, NepalBharatpur Hospital, Bharatpur, Chitwan, NepalBharatpur Hospital, Bharatpur, Chitwan, NepalBharatpur Hospital, Bharatpur, Chitwan, NepalGlobal Star Education Foundation, Maitidevi, Kathmandu, NepalParopakar Maternity and Women Hospital, Thapathali, Kathmandu, NepalGolden Community, Chakupat, Lalitpur NepalParopakar Maternity and Women Hospital, Thapathali, Kathmandu, Nepal Background: Emergency Department admissions have changed significantly during the COVID-19 pandemic. Understanding this variation may play a crucial role in rearranging hospital resources for better outcome. In this study, we aimed to assess the impact of COVID-19 pandemic on emergency department admission and outcome. Methods: This is a cross-sectional retrospective study conducted at Bharatpur Hospital, Nepal comparing pre- pandemic data of the 4 months (March 24 to July 21, 2019) with the initial 4 months of the pandemic (March 24 to July 21, 2020). Results: Admission in emergency ward decreased during covid period among female admission (47%vs43%), age-group(0-14)(18%vs12%), Dalit(17%vs11%) p<0.0001.Diagnosis increased during covid for acute abdomen(11%vs13%), animal and insect bite(10%vs13%), psychiatric illness(2%vs6%),poisoning and drug over dose(0.9%vs2.6%)(p<0.0001).The odds for referral(cOR 3.62,95% CI:2.70-4.84), Left against medical advice(cOR 6.03,95% CI:.06-8.94) and death(cOR 3.28,95% CI:1.64-6.68) increased during the covid respectively. Conclusions: There was decrease in rates of emergency department utilization during the Covid-19 pandemic. Admissions due to trauma, gastrointestinal, respiratory, neurological, musculoskeletal and coronary artery disease showed a decline whereas psychiatric disorders, diabetes and hypertension, animal and insect bites cases increased. Overall, mortality rate was increased. Keywords: Admission; Covid-19; emergency department https://jnhrc.com.np/index.php/jnhrc/article/view/4264 |
| spellingShingle | Jagannath Tiwari Pramod Paudel Sujan Adhikari Sharmila Lamichhane Anjali Basnet Kirtipal Subedi Pratiksha Bhattarai Prajwal Paudel Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome Journal of Nepal Health Research Council |
| title | Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome |
| title_full | Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome |
| title_fullStr | Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome |
| title_full_unstemmed | Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome |
| title_short | Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome |
| title_sort | effect of covid 19 pandemic on emergency department admissions and outcome |
| url | https://jnhrc.com.np/index.php/jnhrc/article/view/4264 |
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