ISSN: 2149-2247 | E-ISSN: 2149-2549
Volume : 44 Issue : 6 Year : 2022
Comparison of Emergency Department Patient Visits One Year Before and After the Start of the COVID-19 Pandemic [Erciyes Med J]
Erciyes Med J. 2022; 44(6): 560-568 | DOI: 10.14744/etd.2022.88655

Comparison of Emergency Department Patient Visits One Year Before and After the Start of the COVID-19 Pandemic

Kadir Küçükceran, Mustafa Kürşat Ayrancı, Abdullah Sadik Girisgin, Sedat Koçak, Zerrin Defne Dündar
Department of Emergency, Necmettin Erbakan University, Meram Faculty of Medicine, Konya, Türkiye

Objective: Planning for emergency department (ED) services based on epidemiological data is essential. This study retrospectively examined ED patient presentations at a tertiary hospital 1 year before and 1 year after the start of the coronavirus 2019 (COVID-2019) pandemic to assist with planning efforts.
Materials and Methods: The study period was March 1, 2019 to February 28, 2021. The patient cases were separated into 2 groups using a reference date of March 2020. The period between March 1, 2019 and February 29, 2020 was de-fined as the pre-COVID period, or ordinary circumstances, and the period between March 1, 2020 and February 28, 2021 was defined as the period following the COVID-19 outbreak, which reflected extraordinary conditions. The primary outcome was the difference in the number of patients and the mortality rate between groups.
Results: A total of 74,063 (62%) people presented at the ED in the pre-COVID period, and there were 45,397 (38%) ED visits in the post-COVID period. The median daily number of patients seen in the pre-COVID period was significantly higher than that of the post-COVID period (200.5 [181–219.25] vs. 123 [108.5–139], respectively [p<0.001]). The in-hospital mortality rate and the hospitalization rate in the post-COVID period were significantly higher than in the pre-COVID period (in-hospital mortality rate: 1105 [2.4%], 852 [1.2%], [p<0.001]; hospitalization rate: 9404 [20.7%], 9019 [12.2%], [p<0.001]).
Conclusion: Although the number of patients presenting at the ED decreased in the period after the outbreak of COVID-19, the number of those who died increased. While the number of hospitalized patients was similar between the 2 groups, the hospitalization rate was greater in the post-COVID period. This information and additional detailed study may prove useful to ED planning efforts.

Keywords: COVID-19, epidemiology, in-hospital mortality, patient admission.

Kadir Küçükceran, Mustafa Kürşat Ayrancı, Abdullah Sadik Girisgin, Sedat Koçak, Zerrin Defne Dündar. Comparison of Emergency Department Patient Visits One Year Before and After the Start of the COVID-19 Pandemic. Erciyes Med J. 2022; 44(6): 560-568

Corresponding Author: Kadir Küçükceran, Türkiye
Manuscript Language: English
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