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Impact of national lockdown towards emergency department visits and admission rates during the COVID‐19 pandemic in Thailand: A hospital‐based study
Objective To evaluate the impact of the national lockdown because of the 2019 coronavirus (COVID‐19) pandemic towards the ED visits and admission rates in Thailand. Methods We retrospectively reviewed the electronic medical database of patients presenting to the ED during the national lockdown perio...
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| Published in: | Emergency Medicine Australasia 2021-04, Vol.33 (2), p.316-323 |
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| container_title | Emergency Medicine Australasia |
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| creator | Wongtanasarasin, Wachira Srisawang, Thanchanok Yothiya, Wanwisa Phinyo, Phichayut |
| description | Objective
To evaluate the impact of the national lockdown because of the 2019 coronavirus (COVID‐19) pandemic towards the ED visits and admission rates in Thailand.
Methods
We retrospectively reviewed the electronic medical database of patients presenting to the ED during the national lockdown period (from 26 March to 30 June 2020). We used the same time interval in the year 2019 as the control period in our analysis. We collected baseline characteristics and outcomes of each patient in the ED. The primary outcome was the incidence rate ratio (IRR) with a 95% confidence interval (CI) of the average daily ED visits. Secondary outcomes included the IRR with 95% CI of total admissions and intensive care unit (ICU) admissions.
Results
The average number of daily ED visits decreased significantly from 89.1 to 57.0 (−36.0%, IRR 0.69, 95% CI 0.67–0.70). However, the proportions of ‘Resuscitation’ and ‘Emergency’ triage level were increased (29.1% vs 19.2%, P |
| doi_str_mv | 10.1111/1742-6723.13666 |
| format | article |
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To evaluate the impact of the national lockdown because of the 2019 coronavirus (COVID‐19) pandemic towards the ED visits and admission rates in Thailand.
Methods
We retrospectively reviewed the electronic medical database of patients presenting to the ED during the national lockdown period (from 26 March to 30 June 2020). We used the same time interval in the year 2019 as the control period in our analysis. We collected baseline characteristics and outcomes of each patient in the ED. The primary outcome was the incidence rate ratio (IRR) with a 95% confidence interval (CI) of the average daily ED visits. Secondary outcomes included the IRR with 95% CI of total admissions and intensive care unit (ICU) admissions.
Results
The average number of daily ED visits decreased significantly from 89.1 to 57.0 (−36.0%, IRR 0.69, 95% CI 0.67–0.70). However, the proportions of ‘Resuscitation’ and ‘Emergency’ triage level were increased (29.1% vs 19.2%, P < 0.001). Total ED admission rate and ICU admission rate were also increased (33.5% vs 28.3%, P < 0.001 and 10.2% vs 7.5%, P < 0.001, respectively). The IRR for the admission rate was 1.18 (95% CI 1.11–1.26), and the IRR for the ICU admission rate was 1.35 (95% CI 1.21–1.52).
Conclusion
The national lockdown in Thailand was associated with a significant reduction in average daily ED visits across traumatic and non‐traumatic patients. Communication from healthcare professionals and public health officers is necessary to reinforce the importance of timely ED visits for acute health conditions.
National lockdown was associated with a significant reduction in average daily ED visits across traumatic and non‐traumatic patients. Although we could not conclude the cause of these changes, communication from healthcare professionals and public health officers is warranted to reinforce the importance of timely ED visits for acute health conditions.</description><identifier>ISSN: 1742-6731</identifier><identifier>EISSN: 1742-6723</identifier><identifier>DOI: 10.1111/1742-6723.13666</identifier><identifier>PMID: 33070468</identifier><language>eng</language><publisher>Melbourne: Wiley Publishing Asia Pty Ltd</publisher><subject>admission rate ; Adult ; Aged ; Communicable Disease Control - methods ; COVID-19 - epidemiology ; COVID‐19 ; emergency department ; Emergency Service, Hospital - statistics & numerical data ; Female ; Hospitalization - statistics & numerical data ; Humans ; Incidence ; lockdown ; Male ; Middle Aged ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; Thailand - epidemiology</subject><ispartof>Emergency Medicine Australasia, 2021-04, Vol.33 (2), p.316-323</ispartof><rights>2020 Australasian College for Emergency Medicine</rights><rights>2020 Australasian College for Emergency Medicine.</rights><rights>2020. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at https://novel-coronavirus.onlinelibrary.wiley.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4126-1bbf00a373ea049507610e0a95717518961cb0e0c01f2450c29a18f5e6374a433</citedby><cites>FETCH-LOGICAL-c4126-1bbf00a373ea049507610e0a95717518961cb0e0c01f2450c29a18f5e6374a433</cites><orcidid>0000-0002-1418-0036</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1742-6723.13666$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2452003972?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,38551,43930,50923,51032</link.rule.ids><linktorsrc>$$Uhttps://www.proquest.com/docview/2452003972/abstract/?pq-origsite=primo$$EView_record_in_ProQuest$$FView_record_in_$$GProQuest</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33070468$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wongtanasarasin, Wachira</creatorcontrib><creatorcontrib>Srisawang, Thanchanok</creatorcontrib><creatorcontrib>Yothiya, Wanwisa</creatorcontrib><creatorcontrib>Phinyo, Phichayut</creatorcontrib><title>Impact of national lockdown towards emergency department visits and admission rates during the COVID‐19 pandemic in Thailand: A hospital‐based study</title><title>Emergency Medicine Australasia</title><addtitle>Emerg Med Australas</addtitle><description>Objective
To evaluate the impact of the national lockdown because of the 2019 coronavirus (COVID‐19) pandemic towards the ED visits and admission rates in Thailand.
Methods
We retrospectively reviewed the electronic medical database of patients presenting to the ED during the national lockdown period (from 26 March to 30 June 2020). We used the same time interval in the year 2019 as the control period in our analysis. We collected baseline characteristics and outcomes of each patient in the ED. The primary outcome was the incidence rate ratio (IRR) with a 95% confidence interval (CI) of the average daily ED visits. Secondary outcomes included the IRR with 95% CI of total admissions and intensive care unit (ICU) admissions.
Results
The average number of daily ED visits decreased significantly from 89.1 to 57.0 (−36.0%, IRR 0.69, 95% CI 0.67–0.70). However, the proportions of ‘Resuscitation’ and ‘Emergency’ triage level were increased (29.1% vs 19.2%, P < 0.001). Total ED admission rate and ICU admission rate were also increased (33.5% vs 28.3%, P < 0.001 and 10.2% vs 7.5%, P < 0.001, respectively). The IRR for the admission rate was 1.18 (95% CI 1.11–1.26), and the IRR for the ICU admission rate was 1.35 (95% CI 1.21–1.52).
Conclusion
The national lockdown in Thailand was associated with a significant reduction in average daily ED visits across traumatic and non‐traumatic patients. Communication from healthcare professionals and public health officers is necessary to reinforce the importance of timely ED visits for acute health conditions.
National lockdown was associated with a significant reduction in average daily ED visits across traumatic and non‐traumatic patients. Although we could not conclude the cause of these changes, communication from healthcare professionals and public health officers is warranted to reinforce the importance of timely ED visits for acute health conditions.</description><subject>admission rate</subject><subject>Adult</subject><subject>Aged</subject><subject>Communicable Disease Control - methods</subject><subject>COVID-19 - epidemiology</subject><subject>COVID‐19</subject><subject>emergency department</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Female</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Incidence</subject><subject>lockdown</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pandemics</subject><subject>Retrospective Studies</subject><subject>SARS-CoV-2</subject><subject>Thailand - epidemiology</subject><issn>1742-6731</issn><issn>1742-6723</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><recordid>eNqFkbFuFDEQhi0EIslBTYdGoqG5xF7ves900RHgpERpAq3ltWdzDrvrxfZyuo5HoMzz8ST4uOMKGtyMPfr-X575CXnF6DnL54LVZTEXdcHPGRdCPCGnx87T452zE3IW4wOlxaJk8jk54ZzWtBSLU_K46kdtEvgWBp2cH3QHnTdfrd8MkPxGBxsBewz3OJgtWBx1SD0OCb676FIEPVjQtncxZjEEnTCCnYIb7iGtEZa3X1bvf_34ySSMGcXeGXAD3K216_L7HVzC2sfRJd1lqtERLcQ02e0L8qzVXcSXhzojnz9c3S0_za9vP66Wl9dzU7JCzFnTtJRqXnPUtJQVrQWjSLWsalZXbCEFM01uGMraoqyoKaRmi7ZCwetSl5zPyNu97xj8twljUnkWg13-HfopqiwqqBSyrjL65h_0wU8hb-xAUS7z3mfkYk-Z4GMM2KoxuF6HrWJU7UJTu1jULiL1J7SseH3wnZoe7ZH_m1IGqj2wcR1u_-enrm5u9sa_AUP5op8</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>Wongtanasarasin, Wachira</creator><creator>Srisawang, Thanchanok</creator><creator>Yothiya, Wanwisa</creator><creator>Phinyo, Phichayut</creator><general>Wiley Publishing Asia Pty Ltd</general><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>COVID</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1418-0036</orcidid></search><sort><creationdate>202104</creationdate><title>Impact of national lockdown towards emergency department visits and admission rates during the COVID‐19 pandemic in Thailand: A hospital‐based study</title><author>Wongtanasarasin, Wachira ; Srisawang, Thanchanok ; Yothiya, Wanwisa ; Phinyo, Phichayut</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4126-1bbf00a373ea049507610e0a95717518961cb0e0c01f2450c29a18f5e6374a433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>admission rate</topic><topic>Adult</topic><topic>Aged</topic><topic>Communicable Disease Control - methods</topic><topic>COVID-19 - epidemiology</topic><topic>COVID‐19</topic><topic>emergency department</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Female</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Incidence</topic><topic>lockdown</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pandemics</topic><topic>Retrospective Studies</topic><topic>SARS-CoV-2</topic><topic>Thailand - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wongtanasarasin, Wachira</creatorcontrib><creatorcontrib>Srisawang, Thanchanok</creatorcontrib><creatorcontrib>Yothiya, Wanwisa</creatorcontrib><creatorcontrib>Phinyo, Phichayut</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Coronavirus Research Database</collection><collection>MEDLINE - Academic</collection><jtitle>Emergency Medicine Australasia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Wongtanasarasin, Wachira</au><au>Srisawang, Thanchanok</au><au>Yothiya, Wanwisa</au><au>Phinyo, Phichayut</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of national lockdown towards emergency department visits and admission rates during the COVID‐19 pandemic in Thailand: A hospital‐based study</atitle><jtitle>Emergency Medicine Australasia</jtitle><addtitle>Emerg Med Australas</addtitle><date>2021-04</date><risdate>2021</risdate><volume>33</volume><issue>2</issue><spage>316</spage><epage>323</epage><pages>316-323</pages><issn>1742-6731</issn><eissn>1742-6723</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Objective
To evaluate the impact of the national lockdown because of the 2019 coronavirus (COVID‐19) pandemic towards the ED visits and admission rates in Thailand.
Methods
We retrospectively reviewed the electronic medical database of patients presenting to the ED during the national lockdown period (from 26 March to 30 June 2020). We used the same time interval in the year 2019 as the control period in our analysis. We collected baseline characteristics and outcomes of each patient in the ED. The primary outcome was the incidence rate ratio (IRR) with a 95% confidence interval (CI) of the average daily ED visits. Secondary outcomes included the IRR with 95% CI of total admissions and intensive care unit (ICU) admissions.
Results
The average number of daily ED visits decreased significantly from 89.1 to 57.0 (−36.0%, IRR 0.69, 95% CI 0.67–0.70). However, the proportions of ‘Resuscitation’ and ‘Emergency’ triage level were increased (29.1% vs 19.2%, P < 0.001). Total ED admission rate and ICU admission rate were also increased (33.5% vs 28.3%, P < 0.001 and 10.2% vs 7.5%, P < 0.001, respectively). The IRR for the admission rate was 1.18 (95% CI 1.11–1.26), and the IRR for the ICU admission rate was 1.35 (95% CI 1.21–1.52).
Conclusion
The national lockdown in Thailand was associated with a significant reduction in average daily ED visits across traumatic and non‐traumatic patients. Communication from healthcare professionals and public health officers is necessary to reinforce the importance of timely ED visits for acute health conditions.
National lockdown was associated with a significant reduction in average daily ED visits across traumatic and non‐traumatic patients. Although we could not conclude the cause of these changes, communication from healthcare professionals and public health officers is warranted to reinforce the importance of timely ED visits for acute health conditions.</abstract><cop>Melbourne</cop><pub>Wiley Publishing Asia Pty Ltd</pub><pmid>33070468</pmid><doi>10.1111/1742-6723.13666</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1418-0036</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Emergency Medicine Australasia, 2021-04, Vol.33 (2), p.316-323 |
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| source | Coronavirus Research Database |
| subjects | admission rate Adult Aged Communicable Disease Control - methods COVID-19 - epidemiology COVID‐19 emergency department Emergency Service, Hospital - statistics & numerical data Female Hospitalization - statistics & numerical data Humans Incidence lockdown Male Middle Aged Pandemics Retrospective Studies SARS-CoV-2 Thailand - epidemiology |
| title | Impact of national lockdown towards emergency department visits and admission rates during the COVID‐19 pandemic in Thailand: A hospital‐based study |
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