Pediatric emergency department visits before and during the COVID-19 pandemic — U.S. January 2019–January 2022

Radhakrishnan, Lakshmi; Carey, Kelly; Hartnett, Kathleen P.; Kite-Powell, Aaron; Zwald, Marissa; Anderson, Kayla N.; Leeb, Rebecca T.; Holland, Kristin M.; Gates, Abigail; DeVies, Jourdan; Smith, Amanda R.; van Santen, Katharina L.; Crossen, Sophia; Sheppard, Michael; Wotiz, Samantha; Johnson, Amelia G.; Winn, Amber; Kirking, Hannah L.; Lane, Rashon I.; Njai, Rashid; Rodgers, Loren; Thomas, Craig W.; Soetebier, Karl; Adjemian, Jennifer

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Pediatric emergency department visits before and during the COVID-19 pandemic — U.S. January 2019–January 2022

February 18, 2022
By Radhakrishnan, Lakshmi ; Carey, Kelly ; Hartnett, Kathleen P. ; ...
Series: MMWR; v. 71, ER, 2/18/22

[PDF-274.88 KB]

English

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Details:

Personal Author:

Radhakrishnan, Lakshmi ; Carey, Kelly ; Hartnett, Kathleen P. ; Kite-Powell, Aaron ; Zwald, Marissa ; ... More +

Radhakrishnan, Lakshmi ; Carey, Kelly ; Hartnett, Kathleen P. ; Kite-Powell, Aaron ; Zwald, Marissa ; Anderson, Kayla N. ; Leeb, Rebecca T. ; Holland, Kristin M. ; Gates, Abigail ; DeVies, Jourdan ; Smith, Amanda R. ; van Santen, Katharina L. ; Crossen, Sophia ; Sheppard, Michael ; Wotiz, Samantha ; Johnson, Amelia G. ; Winn, Amber ; Kirking, Hannah L. ; Lane, Rashon I. ; Njai, Rashid ; Rodgers, Loren ; Thomas, Craig W. ; Soetebier, Karl ; Adjemian, Jennifer Less -
Corporate Authors:

Center for Surveillance, Epidemiology, and Laboratory Services (U.S.) ; Div. of Health Informatics and Surveillance ; National Center for Injury Prevention and Control (U.S.) ; Div. of Violence Prevention ; National Center on Birth Defects and Developmental Disabilities ; ... More +

Center for Surveillance, Epidemiology, and Laboratory Services (U.S.) ; Div. of Health Informatics and Surveillance ; National Center for Injury Prevention and Control (U.S.) ; Div. of Violence Prevention ; National Center on Birth Defects and Developmental Disabilities ; Centers for Disease Control and Prevention (U.S.) ; Div. of Human Development and Disability ; ICF International ; Centers for Disease Control and Prevention (U.S.) ; Epidemic Intelligence Service ; InductiveHealth Informatics ; Deloitte ; National Center for Immunization and Respiratory Diseases (U.S.) ; Div. of Viral Diseases ; National Center for HIV, Viral Hepatitis, STD, and TB Prevention (U.S.) ; Div. of HIV Prevention ; Centers for Disease Control and Prevention (U.S.) ; Office of Minority Health and Health Equity ; National Center for Chronic Disease Prevention and Health Promotion (U.S.) Less -
Description:

What is already known about this topic? Health seeking behavior has changed during the COVID-19 pandemic.

What is added by this report? Compared with 2019, overall pediatric emergency department visits decreased by 51%, 22%, and 23% during 2020, 2021, and January 2022, respectively. COVID-19 visits predominated across all pediatric ages; visits for other respiratory illnesses mostly declined. Number and proportion of visits increased for certain injuries (e.g., firearm injuries, self-harm, and drug Poisonings), some chronic Diseases, and behavioral health concerns, with variations by age group.

What are the implications for public health practice? Health care providers and families should remain vigilant for potential indirect impacts of the COVID-19 pandemic, including health conditions resulting from delayed care, and increasing emotional distress and behavioral health concerns among children and adolescents.

Emergency departments (EDs) in the U.S. remain a frontline resource for pediatric health care emergencies during the COVID-19 pandemic; however, patterns of health-seeking behavior have changed during the pandemic (1,2). CDC examined changes in U.S. ED visit Trends to assess the continued impact of the pandemic on visits among children and adolescents aged 0–17 years (pediatric ED visits). Compared with 2019, pediatric ED visits declined by 51% during 2020, 22% during 2021, and 23% during January 2022. Although visits for non–COVID-19 respiratory illnesses mostly declined, the proportion of visits for some respiratory conditions increased during January 2022 compared with 2019. Weekly number and proportion of ED visits increased for certain types of injuries (e.g., drug Poisonings, self-harm, and firearm injuries) and some chronic Diseases, with variation by pandemic year and age group. Visits related to behavioral concerns increased across pandemic years, particularly among older children and adolescents. Health care providers and families should remain vigilant for potential indirect impacts of the COVID-19 pandemic, including health conditions resulting from delayed care, and increasing emotional distress and behavioral health concerns among children and adolescents.

Suggested citation for this article: Radhakrishnan L, Carey K, Hartnett KP, et al. Pediatric Emergency Department Visits Before and During the COVID-19 Pandemic — U.S. January 2019–January 2022. MMWR Morb Mortal Wkly Rep. ePub: 18 February 2022.

mm7108e1.htm?s_cid=mm7108e1_w

mm7108e1-H.pdf
Subjects:

[+]

Adolescent Child Child, Preschool CoronaVirus Infections COVID-19 Emergency Service, Hospital Facilities And Services Utilization Female Humans Infant Infant, Newborn Male Pandemics Pediatrics Pneumonia, Viral Sentinel Surveillance
Series:

MMWR; v. 71, ER, 2/18/22
Document Type:

Journal Article
Name as Subject:

National Syndromic Surveillance Program (U.S.) Community of Practice (NSSP CoP); ; National Syndromic Surveillance Program (U.S.) Community of Practice (NSSP CoP);

National Syndromic Surveillance Program (U.S.) Community of Practice (NSSP CoP); ; National Syndromic Surveillance Program (U.S.) Community of Practice (NSSP CoP); Less -
Place as Subject:

U.S.
Pages in Document:

6 numbered pages
Volume:

71
Collection(s):

Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:

[+]

urn:sha256:9f754d7df6541bd28fb4bf7cc9bb1862ec9eb6cb7a2e15e109a95deccb8bf437
Download URL:

https://stacks.cdc.gov/view/cdc/114658/cdc_114658_DS1.pdf
File Type:

mm7108e1.htm

htm

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