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During the first four weeks of the COVID-19 pandemic, visits to the US emergency department fell 42% compared to the 2019 response period, according to the Centers for Disease Control and Prevention report.
“The significant reduction in ED visits across the United States suggests that the pandemic has changed the use of EDs by the public,” Kathleen P. Hartnett, PhD, and fellow at CDC. Said June 3 Weekly reports of mortality and morbidity.
The weekly average was slightly above the 1.2 million ED visits for the four weeks from 29 March to 25 April 2020, compared to 2.2 million weekly from 31 March 2019 to 27 April 2019. Nearly a visit was recorded. Analysis of data from the National Syndromic Surveillance Program.
Despite that decline, researchers reported that ED visits for infection-related reasons were 3.8 times higher than the 2019 comparison period, as a proportion of all 1.2 ED visits in the early pandemic. ..
ED visits were higher for specific and unspecified lower respiratory illness in 2020, influenza, Pneumonia, asthma, Or bronchitis (Prevalence of 1.99 compared to 2019), cardiac arrest and Ventricular fibrillation (PR, 1.98), and pneumonia not caused by tuberculosis (PR, 1.91), said Dr. Hartnett and his associates.
The prevalence of early pandemics was reduced in most other conditions, with the greatest reduction in influenza (PR, 0.16). Otitis media (PR, 0.35), and neoplasm-related encounters (PR, 0.40), they said.
The number of visits has increased weekly since reaching the low of April 12-18, but the most recent week not included in the analysis, May 24-30, is the corresponding number for 2019. It is still down 26% from the week. , The CDC team pointed out.
“Some people can delay the care of conditions that may result in additional mortality if left untreated,” they said because they lack access to primary care and telemedicine. People who use ED as a safety net should avoid seeking care because they are concerned about the risk of getting ED. “
Source: Hartnett KP et al. MMWR. June 3, 2020 69:1-6..
This story originally appeared MDedge.com..
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