Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome
| dc.contributor.author | Tiwari, Jagannath | |
| dc.contributor.author | Paudel, Pramod | |
| dc.contributor.author | Adhikari, Sujan | |
| dc.contributor.author | Lamichhane, Sharmila | |
| dc.contributor.author | Basnet, Anjali | |
| dc.contributor.author | Subedi, Kirtipal | |
| dc.contributor.author | Bhattarai, Pratiksha | |
| dc.contributor.author | Paudel, Prajwal | |
| dc.date.accessioned | 2024-03-24T05:22:26Z | |
| dc.date.available | 2024-03-24T05:22:26Z | |
| dc.date.issued | 2022 | |
| dc.description | Original Article | en_US |
| dc.description.abstract | Abstract 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 | en_US |
| dc.identifier.citation | TiwariJ., PaudelP., AdhikariS., Lamichhane S., BasnetA., SubediK., BhattaraiP., & PaudelP. (2023). Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome. Journal of Nepal Health Research Council, 20(4), 906-912. https://doi.org/10.33314/jnhrc.v20i4.4264 | en_US |
| dc.identifier.issn | Print ISSN: 1727-5482; Online ISSN: 1999-6217 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/50 | |
| dc.language.iso | en | en_US |
| dc.publisher | Government of Nepal; Nepal Health Research Council; Ramshah Path, Kathmandu, Nepal | en_US |
| dc.relation.ispartofseries | Oct-Dec, 2022;4264 | |
| dc.subject | Admission | en_US |
| dc.subject | Covid-19 | en_US |
| dc.subject | Emergency department | en_US |
| dc.title | Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome | en_US |
| dc.type | Journal Article | en_US |