Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study
Abstract Background Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2, has spread rapidly around the world. Objective To assess the effect of the COVID-19 pandemic on the emergency medical service (EMS) and hospital admission course for children transport...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12873-022-00765-8 |
| _version_ | 1828087271216119808 |
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| author | Koshi Ota Daisuke Nishioka Yusuke Katayama Tetsuhisa Kitamura Jun Masui Kanna Ota Masahiko Nitta Tetsuya Matsuoka Akira Takasu |
| author_facet | Koshi Ota Daisuke Nishioka Yusuke Katayama Tetsuhisa Kitamura Jun Masui Kanna Ota Masahiko Nitta Tetsuya Matsuoka Akira Takasu |
| author_sort | Koshi Ota |
| collection | DOAJ |
| description | Abstract Background Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2, has spread rapidly around the world. Objective To assess the effect of the COVID-19 pandemic on the emergency medical service (EMS) and hospital admission course for children transported by ambulance. Methods This study was a retrospective, descriptive study with a study period from January 1, 2018 to December 31, 2020 using the Osaka Emergency Information Research Intelligent Operation Network (ORION) system. All children who were transported by ambulance in Osaka Prefecture were included. The main outcome of this study was the rate of difficult-to-transfer cases, which was calculated by univariate and multivariate Poisson regression analyses. Results Over the 3 years between January 1, 2018 and December 31 2020, 1,436,212 patients were transported to hospitals by ambulances in Osaka Prefecture, with children accounting for 102,473 (37,064, 39,590, and 25,819, in 2018, 2019, and 2020, respectively). Poisson regression analysis showed that children were negatively associated with difficult-to-transfer cases (risk ratio (RR) 0.35, 95% CI 0.33 to 0.37). With reference to 2018, 2020 was not significantly associated with difficult-to-transfer cases in children (RR 1.14, 95% CI 0.99 to 1.32, P = 0.075), but was significantly related (RR 1.24, 95% CI 1.21 to 1.27, P < 0.001) to difficult-to-transfer cases in the general population. Conclusion Children were consistently associated with a reduced RR for difficult-to-transfer cases, even in the COVID-19 pandemic in 2020. |
| first_indexed | 2024-04-11T05:09:45Z |
| format | Article |
| id | doaj.art-8210d0a13178465f917f785173a59d38 |
| institution | Directory Open Access Journal |
| issn | 1471-227X |
| language | English |
| last_indexed | 2024-04-11T05:09:45Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj.art-8210d0a13178465f917f785173a59d382022-12-25T12:07:19ZengBMCBMC Emergency Medicine1471-227X2022-12-0122111010.1186/s12873-022-00765-8Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry studyKoshi Ota0Daisuke Nishioka1Yusuke Katayama2Tetsuhisa Kitamura3Jun Masui4Kanna Ota5Masahiko Nitta6Tetsuya Matsuoka7Akira Takasu8Department of Emergency Medicine, Osaka Medical and Pharmaceutical UniversityResearch and Development Center, Osaka Medical and Pharmaceutical UniversityThe Working Group to Analyze the Emergency Medical Care System in Osaka PrefectureThe Working Group to Analyze the Emergency Medical Care System in Osaka PrefectureOsaka Prefectural GovernmentDepartment of Emergency Medicine, Osaka Medical and Pharmaceutical UniversityDepartment of Emergency Medicine, Osaka Medical and Pharmaceutical UniversityThe Working Group to Analyze the Emergency Medical Care System in Osaka PrefectureDepartment of Emergency Medicine, Osaka Medical and Pharmaceutical UniversityAbstract Background Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus 2, has spread rapidly around the world. Objective To assess the effect of the COVID-19 pandemic on the emergency medical service (EMS) and hospital admission course for children transported by ambulance. Methods This study was a retrospective, descriptive study with a study period from January 1, 2018 to December 31, 2020 using the Osaka Emergency Information Research Intelligent Operation Network (ORION) system. All children who were transported by ambulance in Osaka Prefecture were included. The main outcome of this study was the rate of difficult-to-transfer cases, which was calculated by univariate and multivariate Poisson regression analyses. Results Over the 3 years between January 1, 2018 and December 31 2020, 1,436,212 patients were transported to hospitals by ambulances in Osaka Prefecture, with children accounting for 102,473 (37,064, 39,590, and 25,819, in 2018, 2019, and 2020, respectively). Poisson regression analysis showed that children were negatively associated with difficult-to-transfer cases (risk ratio (RR) 0.35, 95% CI 0.33 to 0.37). With reference to 2018, 2020 was not significantly associated with difficult-to-transfer cases in children (RR 1.14, 95% CI 0.99 to 1.32, P = 0.075), but was significantly related (RR 1.24, 95% CI 1.21 to 1.27, P < 0.001) to difficult-to-transfer cases in the general population. Conclusion Children were consistently associated with a reduced RR for difficult-to-transfer cases, even in the COVID-19 pandemic in 2020.https://doi.org/10.1186/s12873-022-00765-8COVID-19ChildrenDifficult-to-transfer casesPandemic |
| spellingShingle | Koshi Ota Daisuke Nishioka Yusuke Katayama Tetsuhisa Kitamura Jun Masui Kanna Ota Masahiko Nitta Tetsuya Matsuoka Akira Takasu Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study BMC Emergency Medicine COVID-19 Children Difficult-to-transfer cases Pandemic |
| title | Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study |
| title_full | Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study |
| title_fullStr | Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study |
| title_full_unstemmed | Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study |
| title_short | Effect of the COVID-19 outbreak on emergency transport of children by an emergency medical service system: a population-based, ORION registry study |
| title_sort | effect of the covid 19 outbreak on emergency transport of children by an emergency medical service system a population based orion registry study |
| topic | COVID-19 Children Difficult-to-transfer cases Pandemic |
| url | https://doi.org/10.1186/s12873-022-00765-8 |
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