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Pediatric Emergency Visits Decreased During COVID-19 Pandemic, With COVID-19 Cases PredominatingDid fewer kids go to the ER during the pandemic? A new report suggests yes

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Key Takeaway
Note: Observational report links pandemic period to decreased pediatric ED visits and a shift toward COVID-19 cases.

An observational report analyzed pediatric emergency department visits in the United States from January 2019 through January 2022. The study compared the pre-pandemic period (2019) to the pandemic period (2020, 2021, and January 2022). The sample size was not reported.

The main finding was that overall pediatric emergency department visits decreased during the pandemic years compared to 2019. Concurrently, visits for COVID-19 became the predominant reason for pediatric emergency care. The report did not provide exact numbers, effect sizes, p-values, or confidence intervals for these changes.

No safety or tolerability data were reported. Key limitations include the observational nature of the data, the absence of reported statistical measures or sample size, and the inability to establish causation. The practice relevance is restrained; this report describes an association in a specific U.S. emergency department setting, and the findings should not be overgeneralized.

The pandemic changed a lot about daily life, including when and why families took their kids to the emergency room. A new report looking at U.S. emergency departments found that overall pediatric visits decreased in 2020, 2021, and the first month of 2022 when compared to the pre-pandemic year of 2019. At the same time, visits specifically for COVID-19 became a predominant reason for kids going to the ER during those pandemic years.

This report describes an association—a pattern that happened at the same time—but it cannot prove the pandemic caused these changes. It's an important look at how healthcare use shifted, but we need to be careful with the conclusions. The report does not include crucial details like how many children were involved, exactly how much visits dropped, or any statistical measures to confirm the findings.

Without those numbers, we can't know the true size of the shift or how it might have varied from place to place. The findings are limited to U.S. emergency departments and this specific timeframe. While it paints a picture of change, this observational report is a starting point for asking more questions, not a final answer.

What this means for you:
ER visits for kids dropped during the pandemic while COVID visits rose, but key details are missing.

Study Details

EvidenceLevel 5
PublishedFeb 2022
View Original Abstract ↓
This report describes how overall pediatric emergency department visits decreased in 2020, 2021, and January 2022 compared with 2019 but COVID-19 visits predominated.
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