Tiwari, JagannathPaudel, PramodAdhikari, SujanLamichhane, SharmilaBasnet, AnjaliSubedi, KirtipalBhattarai, PratikshaPaudel, Prajwal2025-08-052025-08-052022https://hdl.handle.net/20.500.14572/1265Jagannath 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, NepalAbstract 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 departmenten-USEffect of COVID-19 Pandemic on Emergency Department Admissions and OutcomeArticle