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Analysis of Emergency Department Visits and Hospital Activity during Influenza Season, COVID-19 Epidemic, and Lockdown Periods in View of Managing a Future Disaster Risk: A Multicenter Observational Study

Author

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  • Enrique Casalino

    (Emergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, 75018 Paris, France
    Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France
    IAME (Infection, Antimicrobial, Modeling, Evaluation), INSERM UMR1137, Université de Paris, 75018 Paris, France)

  • Christophe Choquet

    (Emergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, 75018 Paris, France
    Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France)

  • Donia Bouzid

    (Emergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, 75018 Paris, France
    Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France
    IAME (Infection, Antimicrobial, Modeling, Evaluation), INSERM UMR1137, Université de Paris, 75018 Paris, France)

  • Olivier Peyrony

    (Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France
    Emergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Saint Louis, 75010 Paris, France)

  • Sonja Curac

    (Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France
    Emergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Beaujon, 92110 Clichy, France)

  • Eric Revue

    (Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France
    Emergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Lariboisière, 75010 Paris, France)

  • Jean-Paul Fontaine

    (Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France
    Emergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Saint Louis, 75010 Paris, France)

  • Patrick Plaisance

    (Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France
    Emergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Lariboisière, 75010 Paris, France)

  • Anthony Chauvin

    (Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France
    Emergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Lariboisière, 75010 Paris, France
    Centre of Research in Epidemiology and Statistics, INSERM UMR1153, Université Sorbonne, 75004 Paris, France)

  • Daniel Aiham Ghazali

    (Emergency Department, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat, 75018 Paris, France
    Study Group for Efficiency and Quality of Emergency Departments and Non-Scheduled Activities Departments, Assistance Publique-Hôpitaux de Paris, 75018 Paris, France
    IAME (Infection, Antimicrobial, Modeling, Evaluation), INSERM UMR1137, Université de Paris, 75018 Paris, France
    Emergency Medical Services, Assistance Publique-Hôpitaux de Paris, Hôpital Beaujon, 92110 Clichy, France)

Abstract

ED-visits and through-ED admissions to medical/surgical wards (MSW) and intensive care unit (ICU) during influenza, COVID-19 and lockdown periods were evaluated in a four-hospital prospective observational study from November 2018 to March 2020. ED visit characteristics and main diagnostic categories were assessed. Analysis of 368,262 ED-visits highlighted a significantly increasing trend in ED-visits during influenza followed by a significantly decreasing trend after lockdown. For MSW-admissions, a pattern of growth during influenza was followed by a fall that began during COVID-19 pandemic and intensified during the lockdown. For ICU-admissions, a significant rise during the COVID-19 pandemic was followed by diminution during the lockdown period. During lockdown, significantly diminishing trends were shown for all diagnostic categories (between −40.8% and −73.6%), except influenza-like illness/COVID cases (+31.6%), Pulmonary embolism/deep vein thrombosis (+33.5%) and frequent users (+188.0%). The present study confirms an increase in demand during the influenza epidemic and during the initial phase of the COVID-19 epidemic, but a drop in activity during the lockdown, mainly related to non-COVID conditions. Syndromic surveillance of ILI cases in ED is a tool for monitoring influenza and COVID-19, and it can predict ED activity and the need for MSW and ICU beds.

Suggested Citation

  • Enrique Casalino & Christophe Choquet & Donia Bouzid & Olivier Peyrony & Sonja Curac & Eric Revue & Jean-Paul Fontaine & Patrick Plaisance & Anthony Chauvin & Daniel Aiham Ghazali, 2020. "Analysis of Emergency Department Visits and Hospital Activity during Influenza Season, COVID-19 Epidemic, and Lockdown Periods in View of Managing a Future Disaster Risk: A Multicenter Observational S," IJERPH, MDPI, vol. 17(22), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8302-:d:442645
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    References listed on IDEAS

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    1. Andy Kilianski & Nicholas G Evans, 2015. "Effectively Communicating the Uncertainties Surrounding Ebola Virus Transmission," PLOS Pathogens, Public Library of Science, vol. 11(10), pages 1-5, October.
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    Cited by:

    1. Luigi Matera & Raffaella Nenna & Francesca Ardenti Morini & Giuseppe Banderali & Mauro Calvani & Matteo Calvi & Giorgio Cozzi & Raffaele Falsaperla & Roberto Guidi & Ahmad Kantar & Marcello Lanari & R, 2021. "Effects of Relaxed Lockdown on Pediatric ER Visits during SARS-CoV-2 Pandemic in Italy," IJERPH, MDPI, vol. 18(18), pages 1-11, September.
    2. Gianluigi Pasta & Alberto Polizzi & Salvatore Annunziata & Catherine Klersy & Lorenzo Fenech & Mohammad Reza Dermenaki Farahani & Matteo Ghiara & Alberto Castelli & Eugenio Jannelli & Federico Alberto, 2022. "Patients with Musculoskeletal Disorders Presenting to the Emergency Department: The COVID-19 Lesson," IJERPH, MDPI, vol. 19(10), pages 1-10, May.
    3. Agnieszka Kasiukiewicz & Zyta Beata Wojszel, 2021. "Assessment of Referrals and Hospitalizations in the Hospital Transformed into COVID-19 Facility in Poland during the “Spring Wave” of the Epidemic in 2020—A Cross-Sectional Study," IJERPH, MDPI, vol. 18(13), pages 1-13, July.

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