Trends in obstetric emergency department attendance the first months of the coronavirus pandemic

Submitted: 15 December 2020
Accepted: 30 April 2021
Published: 28 June 2021
Abstract Views: 1076
PDF: 348
Appendix: 103
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Many medical disciplines reported a decline in patient attendance during the coronavirus pandemic. Our paper examines the effects that the coronavirus pandemic had on obstetric Emergency Department (ED) attendances in a tertiary maternity centre in the Republic of Ireland. A retrospective cross-sectional analysis was performed on administrative data regarding the number of obstetric patients attending the ED from January to July in 2019 and 2020. These numbers were compared to the number of reported coronavirus cases in Ireland as released in official government publications. A paired sample t-test was carried out to see if there was a significant difference in attendance in the obstetric ED in 2020 compared to in 2019. When COVID-19 cases peaked at 17,377 in April 2020, ED attendance showed their largest decline of 27%. The cumulative decline in ED attendances from January to July in 2019 to 2020 was 13%. However, this decline was not found to be statistically significant. In contrast to other disciplines, the COVID-19 pandemic did not cause a decrease in obstetric ED attendance.

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Citations

Brick A, Walsh B, Keegan C, Lyons S. COVID-19 and emergency department attendances in Irish public hospitals. Accessed 2020 Aug 20. Available from: https://doi.org/10.26504/qec2020may_SA_lyons DOI: https://doi.org/10.26504/qec2020may_SA_lyons
Honeyford K, Coughlan C, Expert P, et al. Changes in Emergency Department attendances before and after COVID-19 lockdown implementation: a cross sectional study of one urban NHS Hospital Trust. MedRxiv 2020;2020.07.20.20157560. DOI: https://doi.org/10.1101/2020.07.20.20157560
Jeffery MM, D’Onofrio G, Paek H, et al. Trends in Emergency Department Visits and Hospital Admissions in Health Care Systems in 5 States in the First Months of the COVID-19 Pandemic in the US. JAMA Intern Med 2020;180:1328–33. DOI: https://doi.org/10.1001/jamainternmed.2020.3288
Isba R, Edge R, Jenner R, et al. Where have all the children gone? Decreases in paediatric emergency department attendances at the start of the COVID-19 pandemic of 2020. Arch Dis Childhood 2020;105:704. DOI: https://doi.org/10.1136/archdischild-2020-319385
De Filippo O, D’Ascenzo F, Angelini F, et al. Reduced rate of hospital admissions for ACS during Covid-19 outbreak in Northern Italy. N Engl J Med 2020;383:88–9. DOI: https://doi.org/10.1056/NEJMc2009166
Republic of Ireland Government. Updates on COVID-19 (Coronavirus) from April - June 2020. Accessed 2020 Aug 18. Available from: https://www.gov.ie/en/publication/72d92-updates-on-covid-19-coronavirus-from-april-june-2020/
Republic of Ireland Government. Updates on COVID-19 (Coronavirus) since January 2020. Accessed 2020 Aug 18. Available from: https://www.gov.ie/en/publication/20f2e0-updates-on-covid-19-coronavirus-since-january-2020/#january-march
Blondel B, Dutilhb P, Delourb M, Uzanc S. Poor antenatal care and pregnancy outcome. Eur J Obstet Gynecol Reproduct Biol 1993;50:191-6. DOI: https://doi.org/10.1016/0028-2243(93)90200-V
Raatikainen K, Heiskanen N, Heinonen S. Under-attending free antenatal care is associated with adverse pregnancy outcomes. BMC Public Health 2007;7:268. DOI: https://doi.org/10.1186/1471-2458-7-268
O’Keeffe C, Mason S, Jacques R, Nicholl J. Characterising non-urgent users of the emergency department (ED): A retrospective analysis of routine ED data. PLoS One 2018;13:e0192855. DOI: https://doi.org/10.1371/journal.pone.0192855
Kilfoyle KA, Vrees R, Raker CA, Matteson KA. Nonurgent and urgent emergency department use during pregnancy: an observational study. Am J Obstet Gynecol 2017:181.e1-7. DOI: https://doi.org/10.1016/j.ajog.2016.10.013

How to Cite

Yambasu, S., & Gaughan, E. (2021). Trends in obstetric emergency department attendance the first months of the coronavirus pandemic. Emergency Care Journal, 17(2). https://doi.org/10.4081/ecj.2021.9562