Research Article
Volume 5 Issue 5 - 2021
Global Impact of COVID-19 on Seeking Emergency Department Services; A Systematic Review
Hossen Tenawe* and Issa Abuzuaiter
Jordanian Medical Association, Amman, Jordan
*Corresponding Author: Hossen Tenawe, Jordanian Medical Association, Amman, Jordan.
Received: March 24, 2021; Published: April 21, 2021




Abstract

Background: COVID-19 pandemic had affected the health systems worldwide, including decreasing the number of emergency department visits and the characteristics of these visits.

Purpose: This review aimed to investigate the impact of the COVID-19 pandemic on seeking emergency department services.

Methods: A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was conducted to search for eligible publications in two databases. The search was conducted between December 20, 2020, and the last search on January 7, 2020.

Results: A total of 12 research studies were reviewed, appraised, and summarized. The studies reported a significant decrease in the number of patients presenting to emergency departments, hospitalization rate, and non-respiratory related complaints. Besides, home quarantine decreased the number of motor vehicle crashes, trauma, and musculoskeletal injuries.

Conclusion: Some patients might delay seeking help because of their fear of cross-contamination with the virus; health institutions must act to meet patients’ needs during the pandemics through public awareness and utilizing outpatient management systems.

 

Keywords: COVID-19; Emergency Services; Emergency Department Access; Emergency Department Visits; SARS-CoV-2

References

  1. COVID-19 time line (2020).
  2. Mantica G., et al. “Non-COVID-19 visits to emergency departments during the pandemic: the impact of fear”. Public Health 184 (2020): 40-41.
  3. Durand AC., et al. “ED patients: how nonurgent are they? Systematic review of the emergency medicine literature”. American Journal of Emergency Medicine 29 (2011): 333-345.
  4. Marzia Lazzerini., et al. “Delayed access or provision of care in Italy resulting from fear of COVID-19”. Lancet 4 (2020): e10-11.
  5. Liberati A., et al. “The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration”. Journal of Clinical Epidemiology 10 (2009): e1-34.
  6. Moola S., et al. “Checklist for analytical cross sectional studies”. In: JBI Manual for Evidence Synthesis (2020): 1-5.
  7. Pikoulis E., et al. “Gathering evidence on the decreased emergency room visits during the coronavirus disease 19 pandemic”. Public Health (2020): 42-43.
  8. Pechmajou L., et al. “Out-of-hospital sudden cardiac arrest and COVID-19 pandemic”. Annales de Cardiologie et d'Angéiologie (2020).
  9. Boserup B., et al. “The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States”. American Journal of Emergency Medicine 9 (2020): 1732-1736.
  10. Butt AA., et al. “Volume and Acuity of Emergency Department Visits Prior To and After COVID-19”. The Journal of Emergency Medicine 5 (2020): 730-734.
  11. Casalino E., et al. “Analysis of emergency department visits and hospital activity during influenza season, COVID-19 epidemic, and lockdown periods in view of managing a future disaster risk: A multicenter observational study”. International Journal of Environmental Research and Public Health 17 (2020): 1-15.
  12. Garrafa E., et al. “When fear backfires: Emergency department accesses during the Covid-19 pandemic”. Health Policy12 (2020): 1333-1339.
  13. Giannouchos T V., et al. “Trends in outpatient emergency department visits during the COVID-19 pandemic at a large, urban, academic hospital system”. American Journal of Emergency Medicine 40 (2021): 20-26.
  14. Hautz WE., et al. “Barriers to seeking emergency care during the COVID-19 pandemic may lead to higher morbidity and mortality - A retrospective study from a Swiss university hospital”. Swiss Medical Weekly 150 (2020): 4-9.
  15. Kastritis E., et al. “Significant reduction in the visits to the emergency room department during the COVID-19 pandemic in a tertiary hospital in Greece”. Medicine52 (2020): e23845.
  16. Nourazari S., et al. “Decreased hospital admissions through the emergency department during the COVID-19 pandemic”. American Journal of Emergency Medicine (2020).
  17. Ojetti V., et al. “Non-covid diseases during the pandemic: Where have all other emergencies gone?” Med 512 (2020): 1-10.
  18. Sekine I., et al. “Impact of non‐pharmaceutical interventions for the COVID‐19 pandemic on emergency department patient trends in Japan: a retrospective analysis”. Acute Medicine and Surgery 1 (2020): e603.
  19. Tuominen J., et al. “NYU-EDA in modelling the effect of COVID-19 on patient volumes in a Finnish emergency department”. BMC Emergency Medicine 1 (2020): 97-103.
  20. Westgard BC., et al. “An Analysis of Changes in Emergency Department Visits After a State Declaration During the Time of COVID-19”. Annals of Emergency Medicine 5 (2020): 595-601.
Citation: Hossen Tenawe and Issa Abuzuaiter. “Global Impact of COVID-19 on Seeking Emergency Department Services; A Systematic Review”. EC Emergency Medicine and Critical Care 5.5 (2021): 07-17.

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