Objective: We aimed to describe differences in orofacial complaints presenting to a pediatric emergency department (PED) during the COVID-19 pandemic as compared to those presenting prior to the pandemic.
Study Design: A retrospective review was conducted in the PED from March 16, 2020, to August 16, 2020, and compared with the prior year.
Results: Despite a 41% reduction in total PED visits, oral visits as a percentage of PED volume increased (3% vs 2%) P < 0.01) during the pandemic. More children with dental complaints required intervention during the pandemic (48% vs 30%, P < 0.001) including extractions and splinting (15% vs 1%, P < 0.001). Compared with pre-pandemic, proportion of tooth infections increased (68% vs 40%, P < 0.001), while oral ulcers decreased (19% vs 47%, P < 0.001).
Conclusion: Pediatric emergency department presentation decreased during the pandemic, but patients requiring interventions increased. This may reflect hesitation in seeking treatment, outpatient facility closures, and increased acuity at the time of PED presentation due to delays in seeking care.
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http://dx.doi.org/10.7759/cureus.28559 | DOI Listing |
JAMA Netw Open
January 2025
Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Acta Paediatr
January 2025
Department of Emergency Medicine, KK Women's and Children's Hospital, SingHealth-Duke NUS Paediatrics Academic Clinical Programme, Duke-NUS Medical School, Singapore.
Aim: We aimed to investigate the prevalence and factors associated with C-reactive protein (CRP) and procalcitonin (PCT) discordance in febrile infants with serious bacterial infections (SBIs).
Methods: We performed a retrospective review of febrile infants ≤ 90 days old presenting to the emergency department between December 2018 and June 2023. We compared conservative and pragmatic thresholds for PCT (< 0.
Drugs
January 2025
Division of Endocrinology, Department of Pediatrics, College of Medicine, University of Florida, 1699 SW 16th Ave, Building A, Gainesville, FL, 32608, USA.
Type 1 diabetes mellitus (T1DM) is characterized by the progressive, autoimmune-mediated destruction of β cells. As such, restoring immunoregulation early in the disease course is sought to retain endogenous insulin production. Nevertheless, in the more than 100 years since the discovery of insulin, treatment of T1DM has focused primarily on hormone replacement and glucose monitoring.
View Article and Find Full Text PDFObjectives: To describe changes in the volume and types of emergency medical services (EMS) calls for children during the COVID-19 pandemic and after availability of the COVID-19 vaccine ("reopening period").
Methods: A retrospective cross-sectional study of EMS 9-1-1 responses to children under 18 years for all causes over a 4-year period (2019-2022) reported in the National Emergency Medical Services Information System (NEMSIS) dataset. Data was stratified into three periods, Pre-pandemic, Pandemic and Reopening.
Prehosp Emerg Care
January 2025
Department of Emergency and Transport Medicine, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, Japan.
Objectives: In out-of-hospital cardiac arrest (OHCA), prehospital time is crucial and can be divided into response time, from emergency call to emergency medical service (EMS) contact, and time from EMS contact to hospital arrival. To improve prehospital strategies for pediatric OHCA, it is essential to understand the association between these time intervals and patient outcomes; however, detailed investigations are lacking. The current study aimed to examine the association between response time and time from EMS contact to hospital arrival as well as survival and neurological outcomes in pediatric OHCA.
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