Publication:
Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome

dc.contributor.authorTiwari, Jagannath
dc.contributor.authorPaudel, Pramod
dc.contributor.authorAdhikari, Sujan
dc.contributor.authorLamichhane, Sharmila
dc.contributor.authorBasnet, Anjali
dc.contributor.authorSubedi, Kirtipal
dc.contributor.authorBhattarai, Pratiksha
dc.contributor.authorPaudel, Prajwal
dc.date.accessioned2025-08-05T10:47:16Z
dc.date.available2025-08-05T10:47:16Z
dc.date.issued2022
dc.descriptionJagannath Tiwari Bharatpur Hospital, Bharatpur, Chitwan, Nepal Pramod Paudel Bharatpur Hospital, Bharatpur, Chitwan, Nepal Sujan Adhikari Bharatpur Hospital, Bharatpur, Chitwan, Nepal Sharmila Lamichhane Bharatpur Hospital, Bharatpur, Chitwan, Nepal Anjali Basnet Global Star Education Foundation, Maitidevi, Kathmandu, Nepal Kirtipal Subedi Paropakar Maternity and Women Hospital, Thapathali, Kathmandu, Nepal Pratiksha Bhattarai Golden Community, Chakupat, Lalitpur Nepal Prajwal Paudel Paropakar Maternity and Women Hospital, Thapathali, Kathmandu, Nepal
dc.description.abstractAbstract Background: Emergency Department admissions have changed significantly during the COVID-19 pandemic. Understanding this variation may play a crucial role in rearranging hospital resources for better outcome. In this study, we aimed to assess the impact of COVID-19 pandemic on emergency department admission and outcome. Methods: This is a cross-sectional retrospective study conducted at Bharatpur Hospital, Nepal comparing pre- pandemic data of the 4 months (March 24 to July 21, 2019) with the initial 4 months of the pandemic (March 24 to July 21, 2020). Results: Admission in emergency ward decreased during covid period among female admission (47%vs43%), age-group(0-14)(18%vs12%), Dalit(17%vs11%) p<0.0001.Diagnosis increased during covid for acute abdomen(11%vs13%), animal and insect bite(10%vs13%), psychiatric illness(2%vs6%),poisoning and drug over dose(0.9%vs2.6%)(p<0.0001).The odds for referral(cOR 3.62,95% CI:2.70-4.84), Left against medical advice(cOR 6.03,95% CI:.06-8.94) and death(cOR 3.28,95% CI:1.64-6.68) increased during the covid respectively. Conclusions: There was decrease in rates of emergency department utilization during the Covid-19 pandemic. Admissions due to trauma, gastrointestinal, respiratory, neurological, musculoskeletal and coronary artery disease showed a decline whereas psychiatric disorders, diabetes and hypertension, animal and insect bites cases increased. Overall, mortality rate was increased. Keywords: Admission; Covid-19; emergency department
dc.identifierhttps://doi.org/10.33314/jnhrc.v20i4.4264
dc.identifier.urihttps://hdl.handle.net/20.500.14572/1280
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titleEffect of COVID-19 Pandemic on Emergency Department Admissions and Outcome
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage912
oaire.citation.startPage906

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