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dc.contributor.authorMcDonnell, Thérèse
dc.contributor.authorNicholson, Emma
dc.contributor.authorConlon, Ciara
dc.contributor.authorBarrett, Michael
dc.contributor.authorCummins, Fergal
dc.contributor.authorHensey, Conor
dc.contributor.authorMcAuliffe, Eilish
dc.date.accessioned2021-02-17T11:56:48Z
dc.date.available2021-02-17T11:56:48Z
dc.date.issued2020-09-15
dc.identifier.pmid32942698
dc.identifier.doi10.3390/ijerph17186719
dc.identifier.urihttp://hdl.handle.net/10147/628999
dc.descriptionThis study outlines the impact of COVID-19 on paediatric emergency department (ED) utilisation and assesses the extent of healthcare avoidance during each stage of the public health response strategy. Records from five EDs and one urgent care centre in Ireland, representing approximately 48% of national annual public paediatric ED attendances, are analysed to determine changes in characteristics of attendance during the three month period following the first reported COVID-19 case in Ireland, with reference to specific national public health stages. ED attendance reduced by 27-62% across all categories of diagnosis in the Delay phase and remained significantly below prior year levels as the country began Phase One of Reopening, with an incident rate ratio (IRR) of 0.58. The decrease was predominantly attributable to reduced attendance for injury and viral/viral induced conditions resulting from changed living conditions imposed by the public health response. However, attendance for complex chronic conditions also reduced and had yet to return to pre-COVID levels as reopening began. Attendances referred by general practitioners (GPs) dropped by 13 percentage points in the Delay phase and remained at that level. While changes in living conditions explain much of the decrease in overall attendance and in GP referrals, reduced attendance for complex chronic conditions may indicate avoidance behaviour and continued surveillance is necessary.en_US
dc.language.isoenen_US
dc.subjectCOVID-19en_US
dc.subjectavoidanceen_US
dc.subjectdelayed attendanceen_US
dc.subjectemergency medicineen_US
dc.subjectpaediatricen_US
dc.subjectpublic healthen_US
dc.titleAssessing the Impact of COVID-19 Public Health Stages on Paediatric Emergency Attendance.en_US
dc.typeArticleen_US
dc.typeOtheren_US
dc.identifier.eissn1660-4601
dc.identifier.journalInternational journal of environmental research and public healthen_US
dc.source.journaltitleInternational journal of environmental research and public health
dc.source.volume17
dc.source.issue18
refterms.dateFOA2021-02-17T11:56:58Z
dc.source.countryInternational
dc.source.countrySwitzerland


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