Pattern of Visits in a Metropolitan Emergency Department in Lombardia (Italy): January 2019–December 2020

Pattern of Visits in a Metropolitan Emergency Department in Lombardia (Italy): January 2019–December 2020

During the Coronavirus disease 2019 (COVID-19), a general decrease in the presentations to emergency departments (ED) was reported. However, we suspect that there was a lower number but an unchanged pattern of ED visits for urgent conditions in 2020 compared to 2019. This retrospective study assesse...

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Bibliographic Details
Main Authors: Simone Gambazza, Alessandro Galazzi, Filippo Binda, Onorina Passeri, Paola Bosco, Giorgio Costantino, Dario Laquintana
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Healthcare
Subjects:
COVID-19
Italy
emergency service
overcrowding
primary care
Online Access:https://www.mdpi.com/2227-9032/9/7/791
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spelling doaj-d8776fa0fb8b404e932c8069715fac482021-07-23T13:42:22ZengMDPI AGHealthcare2227-90322021-06-01979179110.3390/healthcare9070791Pattern of Visits in a Metropolitan Emergency Department in Lombardia (Italy): January 2019–December 2020Simone Gambazza0Alessandro Galazzi1Filippo Binda2Onorina Passeri3Paola Bosco4Giorgio Costantino5Dario Laquintana6Healthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milano, ItalyHealthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milano, ItalyHealthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milano, ItalyHealthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milano, ItalyHealthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milano, ItalyEmergency Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milano, ItalyHealthcare Professions Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, 20122 Milano, ItalyDuring the Coronavirus disease 2019 (COVID-19), a general decrease in the presentations to emergency departments (ED) was reported. However, we suspect that there was a lower number but an unchanged pattern of ED visits for urgent conditions in 2020 compared to 2019. This retrospective study assessed the change in the number of presentations in the ED of a tertiary level university hospital in Milano (Lombardia, Italy). Compared to 2019, a significant drop in ED presentations occurred (−46.4%), and we recorded a −15.7% difference in the proportion of patients admitted with white codes. The pattern of hourly presentations to the ED was unchanged, with overcrowding during the working daytime. COVID-19 changed ED flows, likely causing an overall reduction in the number of deferrable conditions. However, the pattern associated with urgent conditions did not change abruptly in 2020.https://www.mdpi.com/2227-9032/9/7/791COVID-19Italyemergency serviceovercrowdingprimary care
collection DOAJ
language English
format Article
sources DOAJ
author Simone Gambazza
Alessandro Galazzi
Filippo Binda
Onorina Passeri
Paola Bosco
Giorgio Costantino
Dario Laquintana
spellingShingle Simone Gambazza
Alessandro Galazzi
Filippo Binda
Onorina Passeri
Paola Bosco
Giorgio Costantino
Dario Laquintana
Pattern of Visits in a Metropolitan Emergency Department in Lombardia (Italy): January 2019–December 2020
Healthcare
COVID-19
Italy
emergency service
overcrowding
primary care
author_facet Simone Gambazza
Alessandro Galazzi
Filippo Binda
Onorina Passeri
Paola Bosco
Giorgio Costantino
Dario Laquintana
author_sort Simone Gambazza
title Pattern of Visits in a Metropolitan Emergency Department in Lombardia (Italy): January 2019–December 2020
title_short Pattern of Visits in a Metropolitan Emergency Department in Lombardia (Italy): January 2019–December 2020
title_full Pattern of Visits in a Metropolitan Emergency Department in Lombardia (Italy): January 2019–December 2020
title_fullStr Pattern of Visits in a Metropolitan Emergency Department in Lombardia (Italy): January 2019–December 2020
title_full_unstemmed Pattern of Visits in a Metropolitan Emergency Department in Lombardia (Italy): January 2019–December 2020
title_sort pattern of visits in a metropolitan emergency department in lombardia (italy): january 2019–december 2020
publisher MDPI AG
series Healthcare
issn 2227-9032
publishDate 2021-06-01
description During the Coronavirus disease 2019 (COVID-19), a general decrease in the presentations to emergency departments (ED) was reported. However, we suspect that there was a lower number but an unchanged pattern of ED visits for urgent conditions in 2020 compared to 2019. This retrospective study assessed the change in the number of presentations in the ED of a tertiary level university hospital in Milano (Lombardia, Italy). Compared to 2019, a significant drop in ED presentations occurred (−46.4%), and we recorded a −15.7% difference in the proportion of patients admitted with white codes. The pattern of hourly presentations to the ED was unchanged, with overcrowding during the working daytime. COVID-19 changed ED flows, likely causing an overall reduction in the number of deferrable conditions. However, the pattern associated with urgent conditions did not change abruptly in 2020.
topic COVID-19
Italy
emergency service
overcrowding
primary care
url https://www.mdpi.com/2227-9032/9/7/791
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