Namgung Myeong, Lee Dong Hoon, Bae Sung Jin, Chung Ho Sub, Park Ji Young, Kim Keon, Lee Choung Ah, Kim Duk Ho, Kim Eui Chung, Lim Jee Yong, Han Sang Soo, Choi Yoon Hee
Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06973, Korea.
Department of Emergency Medicine, College of Medicine, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University, Gwangmyeong-si 14353, Korea.
Children (Basel). 2022 Jul 4;9(7):1003. doi: 10.3390/children9071003.
Unscheduled revisits to emergency departments (EDs) are important because they indicate the quality of emergency care. However, the characteristics of pediatric patients visiting EDs changed during the coronavirus disease (COVID-19) pandemic, and these changes may have affected their revisit patterns. Therefore, we aimed to compare the ED revisit patterns of pediatric patients between the pre-COVID-19 and COVID-19 periods. This retrospective multicenter study included patients aged below 18 years who visited the ED in the pre-COVID-19 and COVID-19 periods. ED revisit rates were analyzed using five age groups and three visit-revisit intervals. In the pre-COVID-19 period, the revisit rates decreased with increasing age. In the COVID-19 period, the revisit rates were the lowest for the group aged 4-6 years, and the rates increased for those aged ≥7 years. In conclusion, there were changes in the patterns of revisit rates of pediatric patients according to age between the pre-COVID-19 and COVID-19 periods. Therefore, it is necessary to identify the reasons for revisits according to age and establish strategies to reduce the revisit rates of pediatric patients.
非计划重返急诊科很重要,因为这能反映急诊护理的质量。然而,在冠状病毒病(COVID-19)大流行期间,儿科患者前往急诊科就诊的特征发生了变化,而这些变化可能影响了他们的重返模式。因此,我们旨在比较COVID-19大流行前和期间儿科患者的急诊科重返模式。这项回顾性多中心研究纳入了在COVID-19大流行前和期间前往急诊科就诊的18岁以下患者。使用五个年龄组和三个就诊-重返间隔分析急诊科重返率。在COVID-19大流行前,重返率随年龄增长而下降。在COVID-19期间,4至6岁组的重返率最低,而7岁及以上患者的重返率有所上升。总之,在COVID-19大流行前和期间,儿科患者按年龄划分的重返率模式有所变化。因此,有必要根据年龄确定重返原因,并制定策略以降低儿科患者的重返率。