Pediatric Emergency Department Visits Before and During the COVID-19 Pandemic - United States, January 2019-January 2022.
Lakshmi Radhakrishnan,Kelly Carey,Kathleen P. Hartnett,Aaron Kite-Powell,Marissa L. Zwald,Kayla N. Anderson,Rebecca T. Leeb,Kristin M. Holland,Abigail Gates,Jourdan DeVies,Amanda Smith,Katharina L. van Santen,Sophia Crossen,Michael Sheppard,Samantha Wotiz,Amelia G Johnson,Amber K Winn,Hannah L Kirking,Rashon I. Lane,Rashid Njai,Loren Rodgers,Craig W. Thomas,Karl Soetebier,Jennifer Adjemian +23 more
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TLDR
Health care providers and families should remain vigilant for potential indirect impacts of the COVID-19 pandemic, including health conditions resulting from delayed care, and increasing emotional distress and behavioral health concerns among children and adolescents.Abstract:
Emergency departments (EDs) in the United States remain a frontline resource for pediatric health care emergencies during the COVID-19 pandemic; however, patterns of health-seeking behavior have changed during the pandemic (1,2). CDC examined changes in U.S. ED visit trends to assess the continued impact of the pandemic on visits among children and adolescents aged 0-17 years (pediatric ED visits). Compared with 2019, pediatric ED visits declined by 51% during 2020, 22% during 2021, and 23% during January 2022. Although visits for non-COVID-19 respiratory illnesses mostly declined, the proportion of visits for some respiratory conditions increased during January 2022 compared with 2019. Weekly number and proportion of ED visits increased for certain types of injuries (e.g., drug poisonings, self-harm, and firearm injuries) and some chronic diseases, with variation by pandemic year and age group. Visits related to behavioral concerns increased across pandemic years, particularly among older children and adolescents. Health care providers and families should remain vigilant for potential indirect impacts of the COVID-19 pandemic, including health conditions resulting from delayed care, and increasing emotional distress and behavioral health concerns among children and adolescents.read more
Citations
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The effects of the COVID-19 pandemic on community respiratory virus activity
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Trends in Acute Hepatitis of Unspecified Etiology and Adenovirus Stool Testing Results in Children - United States, 2017-2022.
Anita Kambhampati,Rachel M Burke,Stephanie Dietz,Michael Sheppard,Olivia Almendares,Julia M Baker,Jordan Cates,Zachary M. Stein,Dylan E. Johns,Amanda Smith,Lara Bull-Otterson,Megan G. Hofmeister,S Cobb,Suzanne Dale,Karl Soetebier,Caelin C. Potts,Jennifer Adjemian,Aaron Kite-Powell,Kathleen P. Hartnett,Hannah L Kirking,David E. Sugerman,Umesh D. Parashar,Jacqueline E. Tate +22 more
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References
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Journal ArticleDOI
Impact of the COVID-19 Pandemic on Emergency Department Visits - United States, January 1, 2019-May 30, 2020.
TL;DR: To minimize SARS-CoV-2, the virus that causes COVID-19, transmission risk and address public concerns about visiting the ED during the pandemic, CDC recommends continued use of virtual visits and triage help lines and adherence to CDC infection control guidance.
Journal ArticleDOI
Trends in US Emergency Department Visits for Mental Health, Overdose, and Violence Outcomes Before and During the COVID-19 Pandemic.
Kristin M. Holland,Christopher M. Jones,Alana M. Vivolo-Kantor,Nimi Idaikkadar,Marissa L. Zwald,Marissa L. Zwald,Brooke E. Hoots,Brooke E. Hoots,Ellen E. Yard,Ellen E. Yard,Ashley Schappell D'Inverno,Elizabeth A. Swedo,May S. Chen,Emiko Petrosky,Emiko Petrosky,Amy Board,Pedro Martinez,Deborah M. Stone,Royal Law,Michael Coletta,Jennifer Adjemian,Jennifer Adjemian,Craig W. Thomas,Richard W. Puddy,Georgina Peacock,Nicole F. Dowling,Debra Houry +26 more
TL;DR: In this article, the authors examined changes in US emergency department (ED) visits for mental health conditions (MHCs), suicide attempts (SAs), overdose (OD), and violence outcomes during the COVID-19 pandemic.
Journal ArticleDOI
US National and State-Level Prevalence of Mental Health Disorders and Disparities of Mental Health Care Use in Children
TL;DR: This analysis of 2016 National Survey of Children’s Health data estimates the national and state-level prevalence of treatable mental health disorders and mental health care use in US children.
Journal ArticleDOI
Trends in Disease Severity and Health Care Utilization During the Early Omicron Variant Period Compared with Previous SARS-CoV-2 High Transmission Periods — United States, December 2020–January 2022
Agnese Iuliano,Joan Brunkard,Tegan K. Boehmer,Elisha E. Peterson,Stacey Adjei,Alison M. Binder,S Cobb,Philip Graff,Pauline Hidalgo,Mark J. Panaggio,Jeanette J. Rainey,Preeti Rao,Karl Soetebier,Susan Wacaster,Chin En Ai,V. Gupta,Noelle-Angelique M. Molinari,Matthew D. Ritchey +17 more
TL;DR: COVID-19 disease severity appears to be lower during the Omicron period than during previous periods of high transmission, likely related to higher vaccination coverage,† which reduces disease severity, lower virulence, and infection-acquired immunity.
Journal ArticleDOI
Impact of the COVID-19 nonpharmaceutical interventions on influenza and other respiratory viral infections in New Zealand.
Q. Sue Huang,Tim Wood,Lauren Jelley,Tineke Jennings,Sarah Jefferies,Karen Daniells,Annette Nesdale,Tony Dowell,Nikki Turner,Priscilla Campbell-Stokes,Michelle Balm,Hazel C Dobinson,Cameron C. Grant,Shelley James,Nayyereh Aminisani,Jacqui Ralston,Wendy Gunn,Judy Bocacao,Jessica Danielewicz,Tessa Moncrieff,Andrea McNeill,Liza Lopez,Ben Waite,Tomasz Kiedrzynski,Hannah Schrader,Rebekah Gray,Kayla Cook,Danielle Currin,Chaune Engelbrecht,Whitney Tapurau,Leigh Emmerton,Maxine Martin,Michael G Baker,Susan S. Taylor,Adrian Trenholme,Conroy Wong,Shirley Lawrence,Colin McArthur,Alicia Stanley,Sally Roberts,Fahimeh Rahnama,Jenny Bennett,Chris Mansell,Meik Dilcher,Anja M. Werno,Jennifer Grant,Antje van der Linden,Ben Youngblood,Paul G. Thomas,Richard J. Webby +49 more
TL;DR: The use of nonpharmaceutical interventions such as lockdowns and border closures is not currently recommended for pandemic influenza control New Zealand used these NPIs to eliminate coronavirus disease 2019 during its first wave using multiple surveillance systems, and observed a parallel and unprecedented reduction of influenza and other respiratory viral infections in 2020.
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