Analysis of Emergency Department Visits According to Incidence of Covid-19

Epidemiology Clinical Trial

Official title:

Analysis of Emergency Department Visits According to Incidence of Covid-19 in French Metropolis : a One-year Multicenter Observational Retrospective Study.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05126641
• Other study ID #: 2021-004
• Secondary ID: 4714175921296
• Status: Completed
• Start date: May 13, 2020
• Est. completion date: May 4, 2021

Study information

• Verified date: November 2021
• Source: Centre Hospitalier de Roubaix
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

With lockdown, Emergency Departments (ED) visits decrease, principally for visits unrelated with Covid-19. In this study, the investigators aimed to find a correlation between ED visits and incidence rate of Covid-19 in a French metropolis.

Description:

All patients older than 18 years were included in 9 ED during 51 weeks. Patients transferred between the centers participating in the study were excluded.

The investigators count the number of visits per weeks, then the number of visits according to :

• reason for consultation Covid-like (cough, fever or dyspnea),

• reason for consultation with accordance to French Emergency Medicine Society (SFMU) reference

• diagnosis with accordance to SFMU reference

• orientation (home, medical unit, chirurgical unit, intensive care unit, psychiatric unit, death)

Pearson's correlation test compare incidence rate per week with this counts and admission rate.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 400000
• Est. completion date: May 4, 2021
• Est. primary completion date: May 4, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• patients over 18 years old

Exclusion Criteria:

• patient who are transferred between centers participating to the study.

Related Conditions & MeSH terms

• COVID-19
• Emergencies
• Emergency Service, Hospital
• Epidemiology

Locations

Country	Name	City	State
France	Emergency Department, General Hospital	Armentières	Nord
France	Emergency Department, General Hospital	Hazebrouck	Nord
France	Emergency Department, GHICL Saint-Vincent	Lille
France	Emergency Department, University Hospital	Lille	Nord
France	Emergency Department, GHICL Saint-Philibert	Lomme	Nord
France	Emergency Department, General Hospital	Roubaix	Nord
France	Emergency Department, General Hospital	Seclin	Nord
France	Emergency Department, General Hospital	Tourcoing	Nord

Sponsors (2)

Lead Sponsor	Collaborator
Centre Hospitalier de Roubaix	University Hospital, Lille

Country where clinical trial is conducted

France, 

References & Publications (20)

Baugh JJ, White BA, McEvoy D, Yun BJ, Brown DFM, Raja AS, Dutta S. The cases not seen: Patterns of emergency department visits and procedures in the era of COVID-19. Am J Emerg Med. 2021 Aug;46:476-481. doi: 10.1016/j.ajem.2020.10.081. Epub 2020 Nov 5. — View Citation

Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med. 2020 Sep;38(9):1732-1736. doi: 10.1016/j.ajem.2020.06.007. Epub 2020 Jun 6. — View Citation

Butt AA, Azad AM, Kartha AB, Masoodi NA, Bertollini R, Abou-Samra AB. Volume and Acuity of Emergency Department Visits Prior To and After COVID-19. J Emerg Med. 2020 Nov;59(5):730-734. doi: 10.1016/j.jemermed.2020.08.013. Epub 2020 Aug 7. — View Citation

Casalino E, Choquet C, Bouzid D, Peyrony O, Curac S, Revue E, Fontaine JP, Plaisance P, Chauvin A, Ghazali DA. Analysis of Emergency Department Visits and Hospital Activity during Influenza Season, COVID-19 Epidemic, and Lockdown Periods in View of Managing a Future Disaster Risk: A Multicenter Observational Study. Int J Environ Res Public Health. 2020 Nov 10;17(22). pii: E8302. doi: 10.3390/ijerph17228302. — View Citation

Çikrikçi Isik G, Çevik Y. Impact of COVID-19 pandemic on visits of an urban emergency department. Am J Emerg Med. 2021 Apr;42:78-82. doi: 10.1016/j.ajem.2021.01.011. Epub 2021 Jan 14. — View Citation

Delforge C. Analyse de l'évolution de la gravité des patients hospitalisés pour un autre motif au cours de la pandémie COVID-19 au Centre Hospitalier de Roubaix [Internet]. Université de Lille; 2020 [cité 28 mai 2021]. Disponible sur: https://pepite.univ-lille.fr/ori-oai-search/notice/view/univ-lille-30333

Friedman AB, Barfield D, David G, Diller T, Gunnarson C, Liu M, Vicidomina BV, Zhang R, Zhang Y, Nigam SC. Delayed emergencies: The composition and magnitude of non-respiratory emergency department visits during the COVID-19 pandemic. J Am Coll Emerg Physicians Open. 2021 Jan 14;2(1):e12349. doi: 10.1002/emp2.12349. eCollection 2021 Feb. — View Citation

Giannouchos TV, Biskupiak J, Moss MJ, Brixner D, Andreyeva E, Ukert B. Trends in outpatient emergency department visits during the COVID-19 pandemic at a large, urban, academic hospital system. Am J Emerg Med. 2021 Feb;40:20-26. doi: 10.1016/j.ajem.2020.12.009. Epub 2020 Dec 9. — View Citation

Kain T, Fowler R. Preparing intensive care for the next pandemic influenza. Crit Care. 2019 Oct 30;23(1):337. doi: 10.1186/s13054-019-2616-1. Review. — View Citation

Kim HS, Cruz DS, Conrardy MJ, Gandhi KR, Seltzer JA, Loftus TM, Fant AL, McCarthy DM. Emergency Department Visits for Serious Diagnoses During the COVID-19 Pandemic. Acad Emerg Med. 2020 Sep;27(9):910-913. doi: 10.1111/acem.14099. Epub 2020 Aug 17. — View Citation

Kollek D. Response of a community hospital and its emergency department to the H1N1 pandemic influenza. Radiat Prot Dosimetry. 2010 Nov;142(1):12-6. doi: 10.1093/rpd/ncq271. Review. — View Citation

Kuitunen I, Ponkilainen VT, Launonen AP, Reito A, Hevonkorpi TP, Paloneva J, Mattila VM. The effect of national lockdown due to COVID-19 on emergency department visits. Scand J Trauma Resusc Emerg Med. 2020 Dec 4;28(1):114. doi: 10.1186/s13049-020-00810-0. — View Citation

Lum ME, McMillan AJ, Brook CW, Lester R, Piers LS. Impact of pandemic (H1N1) 2009 influenza on critical care capacity in Victoria. Med J Aust. 2009 Nov 2;191(9):502-6. — View Citation

Référentiels SFMU - Motifs de recours [Internet]. 2010 [cité 27 mai 2021]. Disponible sur: https://www.sfmu.org/fr/vie-professionnelle/outils-professionnels/referentiels-sfmu/le-thesaurus-des-motifs-de-recours/ref_id/22

Référentiels SFMU - Thésaurus [Internet]. 2009 [cité 27 mai 2021]. Disponible sur: https://www.sfmu.org/fr/vie-professionnelle/outils-professionnels/referentiels-sfmu/le-thesaurus-de-medecine-d-urgence/ref_id/23

Schanzer DL, Schwartz B. Impact of seasonal and pandemic influenza on emergency department visits, 2003-2010, Ontario, Canada. Acad Emerg Med. 2013 Apr;20(4):388-97. doi: 10.1111/acem.12111. — View Citation

Sivey P, McAllister R, Vally H, Burgess A, Kelly AM. Anatomy of a demand shock: Quantitative analysis of crowding in hospital emergency departments in Victoria, Australia during the 2009 influenza pandemic. PLoS One. 2019 Sep 24;14(9):e0222851. doi: 10.1371/journal.pone.0222851. eCollection 2019. — View Citation

Westgard BC, Morgan MW, Vazquez-Benitez G, Erickson LO, Zwank MD. An Analysis of Changes in Emergency Department Visits After a State Declaration During the Time of COVID-19. Ann Emerg Med. 2020 Nov;76(5):595-601. doi: 10.1016/j.annemergmed.2020.06.019. Epub 2020 Jun 11. — View Citation

Wongtanasarasin W, Srisawang T, Yothiya W, Phinyo P. Impact of national lockdown towards emergency department visits and admission rates during the COVID-19 pandemic in Thailand: A hospital-based study. Emerg Med Australas. 2021 Apr;33(2):316-323. doi: 10.1111/1742-6723.13666. Epub 2020 Nov 2. — View Citation

Yang L, Chan KH, Suen LK, Chan KP, Wang X, Cao P, He D, Peiris JS, Wong CM. Impact of the 2009 H1N1 Pandemic on Age-Specific Epidemic Curves of Other Respiratory Viruses: A Comparison of Pre-Pandemic, Pandemic and Post-Pandemic Periods in a Subtropical City. PLoS One. 2015 Apr 30;10(4):e0125447. doi: 10.1371/journal.pone.0125447. eCollection 2015. Erratum in: PLoS One. 2015;10(7):e0133946. — View Citation

* Note: There are 20 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Incidence rate of Covid 19	Incidence rate of Covid 19 per week	51 weeks
Primary	non-Covid-19 visit	Count of non-Covid-19 visit per week	51 weeks
Secondary	Reason for visits	Count of each reason for visits category according to SFMU reference	51 weeks
Secondary	Admission rate	Admission rate per week	51 weeks
Secondary	Diagnosis	Count of each diagnostic category according to SFMU reference	51 weeks
Secondary	Orientation	Count of each orientation (home, medical unit, chirurgical unit, intensive care unit, death, psychiatric unit, other)	51 weeks