dc.contributor.author | Mongru, R | |
dc.contributor.author | Rose, DF | |
dc.contributor.author | Costelloe, C | |
dc.contributor.author | Cunnington, A | |
dc.contributor.author | Nijman, RG | |
dc.date.accessioned | 2022-04-01T13:43:03Z | |
dc.date.available | 2022-04-01T13:43:03Z | |
dc.date.issued | 2022-01-01 | |
dc.identifier | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000743662700002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=d4b848928d1c3e5c86d298abb68475f9 | |
dc.identifier | ARTN e001363 | |
dc.identifier.citation | BMJ PAEDIATRICS OPEN, 2022, 6 (1), pp. ? - ? (7) | |
dc.identifier.uri | https://repository.icr.ac.uk/handle/internal/5065 | |
dc.identifier.eissn | 2399-9772 | |
dc.identifier.eissn | 2399-9772 | |
dc.identifier.doi | 10.1136/bmjpo-2021-001363 | |
dc.identifier.doi | 10.1136/bmjpo-2021-001363 | |
dc.description.abstract | OBJECTIVE: To explore the impact of the measures taken to combat COVID-19 on the patterns of acute illness in children presenting to primary and secondary care for North West London. DESIGN/SETTING/PARTICIPANTS: Retrospective analysis of 8 309 358 primary and secondary healthcare episodes of children <16 years registered with a North West London primary care practice between 2015 and 2021. MAIN OUTCOME MEASURES: Numbers of primary care consultations, emergency department (ED) attendances and emergency admissions during the pandemic were compared with those in the preceding 5 years. Trends were examined by age and for International Statistical Classification of Diseases and Related Health Problems 10th Revision-coded diagnoses of: infectious diseases, and injuries and poisonings for admitted children. RESULTS: Comparing 2020 to the 2015-2019 mean, primary care consultations were 22% lower, ED attendances were 38% lower and admissions 35% lower. Following the first national lockdown in April 2020, primary care consultations were 39% lower compared with the April 2015-2019 mean, ED attendances were 72% lower and unscheduled hospital admissions were 63% lower. Admissions >48 hours were on average 13% lower overall during 2020, and 36% lower during April 2020. The reduction in admissions for infections (61% lower than 2015-2019 mean) between April and August 2020 was greater than for injuries (31% lower). CONCLUSION: The COVID-19 pandemic was associated with an overall reduction in childhood illness presentations to health services in North West London, most prominent during periods of national lockdown, and with a greater impact on infections than injuries. These reductions demonstrate the impact on children of measures taken to combat COVID-19 across the health system. | |
dc.format.extent | ? - ? (7) | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | BMJ PUBLISHING GROUP | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Science & Technology | |
dc.subject | Life Sciences & Biomedicine | |
dc.subject | Pediatrics | |
dc.subject | COVID-19 | |
dc.subject | epidemiology | |
dc.title | Retrospective analysis of North West London healthcare utilisation by children during the COVID-19 pandemic. | |
dc.type | Journal Article | |
dcterms.dateAccepted | 2022-01-04 | |
rioxxterms.version | VoR | |
rioxxterms.versionofrecord | 10.1136/bmjpo-2021-001363 | |
rioxxterms.licenseref.startdate | 2022-01-01 | |
dc.relation.isPartOf | BMJ PAEDIATRICS OPEN | |
pubs.issue | 1 | |
pubs.notes | Not known | |
pubs.organisational-group | /ICR | |
pubs.publication-status | Published | |
pubs.volume | 6 | |
pubs.embargo.terms | Not known | |
dc.contributor.icrauthor | Costelloe, Ceire | |