International Emergency Nursing Vol. 56 May 2021
The wider implications of the COVID-19 pandemic: Assessing the impact of accident and emergency use for frequent attenders
Dublin Core
Title
International Emergency Nursing Vol. 56 May 2021
The wider implications of the COVID-19 pandemic: Assessing the impact of accident and emergency use for frequent attenders
The wider implications of the COVID-19 pandemic: Assessing the impact of accident and emergency use for frequent attenders
Subject
Emergency department, COVID-19, Frequent attenders
Description
Introduction: Emergency departments have seen altered patterns of attendance since the beginning of the COVID-19 pandemic, with reductions in the number of attendances for non-COVID-19 – patients. We assessed the use of the emergency department by frequent attenders during the height of the COVID-19 pandemic and explored any changes in emergency department attendance by this group.
Methods: As part of ongoing improvement work, we utilised a cohort design to evaluate the difference in patterns of attendance for the frequent attender group in a single centre. We created a 2019 ‘top attender’ cohort and a similar cohort for 2020. We compared admission patterns between the two time periods in order to understand the impact of the COVID-19 pandemic on this group.
Results: Both groups were predominately male. Mental health and substance misuse use problems were common across both cohorts. The majority of patients lived in a socioeconomically deprived areas. The median number emergency department visits in 2019, for the top attender cohort was 6 (IQR: 4–9) vs 4 (IQR: 2–7) for the top attender cohort of 2020 (p < .0013).
Conclusion: This single centre evaluation has shown a significant reduction in emergency department attendances for a frequent attender cohort in a single centre. Future work should investigate the longer-term impact which the COVID-19 pandemic has had on this patient group.
Methods: As part of ongoing improvement work, we utilised a cohort design to evaluate the difference in patterns of attendance for the frequent attender group in a single centre. We created a 2019 ‘top attender’ cohort and a similar cohort for 2020. We compared admission patterns between the two time periods in order to understand the impact of the COVID-19 pandemic on this group.
Results: Both groups were predominately male. Mental health and substance misuse use problems were common across both cohorts. The majority of patients lived in a socioeconomically deprived areas. The median number emergency department visits in 2019, for the top attender cohort was 6 (IQR: 4–9) vs 4 (IQR: 2–7) for the top attender cohort of 2020 (p < .0013).
Conclusion: This single centre evaluation has shown a significant reduction in emergency department attendances for a frequent attender cohort in a single centre. Future work should investigate the longer-term impact which the COVID-19 pandemic has had on this patient group.
Creator
David Kyle, Martin Shaw, Donogh Maguire, Donald McMillan, Tara Quasim, Alastair H. Leyland, Joanne McPeake
Publisher
Elsevier Ltd.
Date
May 2021
Contributor
Sri Wahyuni
Rights
1755-599X
Format
PDF
Language
English
Type
Text
Coverage
International Emergency Nursing Vol. 56 May 2021
Files
Citation
David Kyle, Martin Shaw, Donogh Maguire, Donald McMillan, Tara Quasim, Alastair H. Leyland, Joanne McPeake , “International Emergency Nursing Vol. 56 May 2021
The wider implications of the COVID-19 pandemic: Assessing the impact of accident and emergency use for frequent attenders,” Repository Horizon University Indonesia, accessed September 20, 2024, https://repository.horizon.ac.id/items/show/1609.
The wider implications of the COVID-19 pandemic: Assessing the impact of accident and emergency use for frequent attenders,” Repository Horizon University Indonesia, accessed September 20, 2024, https://repository.horizon.ac.id/items/show/1609.