Influence of epidemics and pandemics on paediatric ED use: a systematic review

被引：12

作者：

Roland, Damian ^{[1
,2
]}

Gardiner, Adam ^{[3
]}

Razzaq, Darakhshan ^{[4
]}

Rose, Katy ^{[5
,6
]}

Bressan, Silvia ^{[7
]}

Honeyford, Kate ^{[8
]}

Buonsenso, Danilo ^{[9
,10
]}

Da Dalt, Liviana ^{[7
]}

De, Tisham ^{[11
]}

Farrugia, Ruth ^{[12
]}

Parri, Niccolo ^{[13
,14
]}

Oostenbrink, Rianne ^{[15
]}

Maconochie, Ian K. ^{[5
]}

Bognar, Zsolt ^{[16
]}

Moll, Henriette A. ^{[15
]}

Titomanlio, Luigi ^{[17
]}

Nijman, Ruud Gerard Gerard ^{[5
,18
]}

机构：

[1] Univ Leicester, Hlth Sci, SAPPHIRE Grp, Leicester, Leics, England

[2] Univ Hosp Leicester NHS Trust, Paediat Emergency Med Leicester Acad PEMLA Grp, Leicester, Leics, England

[3] Univ Leicester, Sch Med, Leicester, Leics, England

[4] Northampton Gen Hosp NHS Trust, Northampton, Northants, England

[5] Imperial Coll NHS Healthcare Trust, St Marys Hosp, Dept Paediat Emergency Med, London, England

[6] Univ Coll London NHS Fdn Trust, Div Emergency Med, London, England

[7] Univ Padua, Div Pediat Emergency Med, Padua, Italy

[8] Inst Canc Res, Div Clin Studies, Hlth Informat Team, London, England

[9] Fdn Policlin Univ Agostino Gemelli IRCCS, Dept Women Child & Publ Hlth, Rome, Italy

[10] Univ Cattolica Sacro Cuore, Rome, Italy

[11] Imperial Coll London, Imperial Coll Med Sch, London, England

[12] Mater Dei Hosp, Dept Child & Adolescent Hlth, Msida, Malta

[13] Osped Paediat Meyer Firenze, Emergency Dept, Florence, Italy

[14] Osped Paediat Meyer Firenze, Trauma Ctr, Florence, Italy

[15] Erasmus Univ, Dept Gen Paediat, Rotterdam, Netherlands

[16] Heim Pal Natl Paediat Inst, Dept Paediat Emergency Med, Budapest, Hungary

[17] Hop Univ Robert Debre, Pediat Emergency Dept, Paris, France

[18] Imperial Coll London, Sect Paediat Infect Dis, London, England

来源：

ARCHIVES OF DISEASE IN CHILDHOOD | 2023年 / 108卷 / 02期

关键词：

emergency care; child health services; communicable diseases; epidemiology; global health; EMERGENCY-DEPARTMENT VISITS; RESPIRATORY SYNDROME OUTBREAK; AGED LESS-THAN-18 YEARS; H1N1; INFLUENZA; UNITED-STATES; CARE UTILIZATION; COVID-19; IMPACT; CHILDREN; PRESENTATIONS;

D O I：

10.1136/archdischild-2022-324108

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Objective To assess the impact of epidemics and pandemics on the utilisation of paediatric emergency care services to provide health policy advice. Setting Systematic review. Design Searches were conducted of Medline, EMBASE, CINAHL, Scopus, Web of Science and the Cochrane Library for studies that reported on changes in paediatric emergency care utilisation during epidemics (as defined by the WHO). Patients Children under 18 years. Interventions National Institutes of Health quality assessment tool for observational cohort and cross-sectional studies was used. Main outcome measures Changes in paediatric emergency care utilisation. Results 131 articles were included within this review, 80% of which assessed the impact of COVID-19. Studies analysing COVID-19, SARS, Middle East respiratory syndrome (MERS) and Ebola found a reduction in paediatric emergency department (PED) visits, whereas studies reporting on H1N1, chikungunya virus and Escherichia coli outbreaks found an increase in PED visits. For COVID-19, there was a reduction of 63.86% (95% CI 60.40% to 67.31%) with a range of -16.5% to -89.4%. Synthesis of results suggests that the fear of the epidemic disease, from either contracting it or its potential adverse clinical outcomes, resulted in reductions and increases in PED utilisation, respectively. Conclusions The scale and direction of effect of PED use depend on both the epidemic disease, the public health measures enforced and how these influence decision-making. Policy makers must be aware how fear of virus among the general public may influence their response to public health advice. There is large inequity in reporting of epidemic impact on PED use which needs to be addressed. Through a systematic review, the authors assessed the impact of epidemics and pandemics on the utilisation of paediatric emergency care services, and found that epidemics have profound but extremely variable effects.

引用

页码：115 / 122

页数：8

共 145 条

[1] Cross-sectional study of paediatric case mix presenting to an emergency centre in Cape Town, South Africa, during COVID-19 [J].