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DOI: 10.1055/s-0042-1755237
The Impact of COVID-19 Lockdown on Pediatric Hospital Admissions in Turkey
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Abstract
Objective Health care utilization has declined significantly during the coronavirus disease 2019 (COVID-19) pandemic. We aimed to analyze the impact of COVID-19 lockdowns on pediatric admissions in a Turkish medical center.
Methods This retrospective study was conducted by analyzing the numbers and records, including diagnoses, of patients admitted to our pediatric department between March 11, 2020 (the day of the first confirmed COVID-19 case in Turkey) and June 11, 2020 and comparing it with the diagnoses and numbers for the same period in 2019. The most common reasons for admissions were investigated.
Results Totally, 89,607 patients were included. Patient visits reduced drastically by 63.11 to 36.89% during the lockdown period compared to the preceding year. In addition to the impact of COVID-19 lockdowns on the total volume of patients, we observed significant variations in the distribution of diagnoses among children. The percentage of respiratory, gastrointestinal, immunological, and ophthalmologic diseases and allergic reactions statistically decreased (p < 0.001). In contrast, the relative percentage of neonatal, urogenital, neurological, cardiovascular, hematological, and dermatological diseases significantly increased (p < 0.001) among emergency department (ED) admissions. Notably, the percentage of respiratory diseases among ED patients decreased by 66.81 to 33.19%.
Conclusion COVID-19 strongly affected health care utilization. The public must be educated about the safety of hospital environments, and families should be encouraged to visit hospitals in case of emergencies. Additionally, changes in public health advice may help alter health care consumption patterns.
Authors' Contributions
All authors were involved in the critical revision of the manuscript. Ö.E. and E.S. made a substantial contribution to the study design, literature review, and drafting the manuscript; Ö.E., E.S., and N.U.K. were responsible for literature review, drafting, and revising the manuscript. R.G.S. analyzed clinical data and drafted the manuscript. All authors approved the final version of the manuscript.
Publication History
Received: 07 March 2022
Accepted: 23 May 2022
Article published online:
02 August 2022
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References
- 1 Wee LE, Fua TP, Chua YY. et al. Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. Acad Emerg Med 2020; 27 (05) 379-387
- 2 Ghebreyesus TA. WHO Director-General's opening remarks at the media briefing on COVID-19—March 11, 2020. 2020 . Accessed July 22, 2020 at: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19%2D%2D-11-march-2020
- 3 Turkish Rebuclic Ministry of Health. New Coronavirus Disease (COVID-19). Turkish Rebuclic Ministry of Health. 2020. Accessed April 7, 2020 at: https://covid19bilgi.saglik.gov.tr/tr
- 4 Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health 2020; 4 (05) e10-e11
- 5 Kadambari S, Abo YN, Phuong LK, Osowicki J, Bryant PA. Decrease in infection-related hospital admissions during COVID-19: why are parents avoiding the doctor?. Pediatr Infect Dis J 2020; 39 (11) e385-e386
- 6 Rosenbaum L. The untold toll—the pandemic's effects on patients without Covid-19. N Engl J Med 2020; 382 (24) 2368-2371
- 7 Giamello JD, Abram S, Bernardi S, Lauria G. The emergency department in the COVID-19 era. Who are we missing?. Eur J Emerg Med 2020; 27 (04) 305-306
- 8 Talarico V, Pinto L, Marseglia GL. et al; SIMEUP research group. Impact of novel coronavirus disease-19 (COVID-19) pandemic in Italian pediatric emergency departments: a national survey. Ital J Pediatr 2021; 47 (01) 47
- 9 Erlichman M, Zalut T, Schwartz S, Weiser G. The ongoing indirect effect of the COVID-19 pandemic on a pediatric emergency department. PLoS One 2021; 16 (05) e0251003
- 10 Glaser CA, Gilliam S, Thompson WW. et al. Medical care capacity for influenza outbreaks, Los Angeles. Emerg Infect Dis 2002; 8 (06) 569-574
- 11 Schoch-Spana M. Implications of pandemic influenza for bioterrorism response. Clin Infect Dis 2000; 31 (06) 1409-1413
- 12 Kraemer MUG, Yang CH, Gutierrez B. et al; Open COVID-19 Data Working Group. The effect of human mobility and control measures on the COVID-19 epidemic in China. Science 2020; 368 (6490): 493-497
- 13 Cauchemez S, Ferguson NM, Wachtel C. et al. Closure of schools during an influenza pandemic. Lancet Infect Dis 2009; 9 (08) 473-481
- 14 Mantica G, Riccardi N, Terrone C, Gratarola A. Non-COVID-19 visits to emergency departments during the pandemic: the impact of fear. Public Health 2020; 183: 40-41
- 15 Castro Delgado R, Arcos González P. Analyzing the health system's capacity to respond to epidemics: a key element in planning for emergencies. Emergencias 2020; 32 (03) 157-159
- 16 Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict 2020; 27: 1-9
- 17 Lin C-Y. Social reaction toward the 2019 novel coronavirus (COVİD-19). Soc Health Behav 2020; 3 (01) 1-2
- 18 Carret ML, Fassa AG, Paniz VM, Soares PC. [Characteristics of the emergency health service demand in Southern Brazil]. Cien Saude Colet 2011; 16 (Suppl 1): 1069-1079
- 19 Kubicek K, Liu D, Beaudin C. et al. A profile of nonurgent emergency department use in an urban pediatric hospital. Pediatr Emerg Care 2012; 28 (10) 977-984
- 20 MacIntyre CR, Chughtai AA. Facemasks for the prevention of infection in healthcare and community settings. BMJ 2015; 350: h694
- 21 Willmott M, Nicholson A, Busse H, MacArthur GJ, Brookes S, Campbell R. Effectiveness of hand hygiene interventions in reducing illness absence among children in educational settings: a systematic review and meta-analysis. Arch Dis Child 2016; 101 (01) 42-50