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10.1093/milmed/usab322 http://scihub22266oqcxt.onion/10.1093/milmed/usab322 34411255!ä!34411255 Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=34411255&cmd=llinks): Failed to open stream: HTTP request failed! 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Changes in Emergency Department Volumes at the Largest U S Military Hospital During the COVID-19 Pandemic |pdf=|usr=}}{{34411255}} gab.com Text Changes in Emergency Department Volumes at the Largest U S Military Hospital During the COVID-19 Pandemic JO: Mil Med http://www.kidney.de/pget.php?&tw=1&pmid=34411255 #FOAvip INTRODUCTION: The coronavirus-2019 (COVID-19) pandemic has significantly impacted global healthcare delivery. Brooke Army Medical Center (BAMC) is the DoD's largest hospital and a critical platform for maintaining a ready medical force. We compare temporal trends in patient volumes and characteristics in the BAMC emergency department (ED) before versus during the pandemic. MATERIALS AND METHODS: We abstracted data on patient visits from the BAMC ED electronic medical record system. Data included patient demographics, visit dates, emergency severity index triage level, and disposition. We visually compared the data from January 1, 2019 to November 30, 2019 versus January 1, 2020 to November 30, 2020 to assess the period with the most apparent differences. We then used descriptive statistics to characterize the pre-pandemic control period (1 March-November 30, 2019) versus the pandemic period (1 March-November 30, 2020). RESULTS: Overall, when comparing the pre-pandemic and pandemic periods, the median number of visits per day was 232 (Interquartile Range (IQR) 214-250, range 145-293) versus 165 (144-193, range 89-308, P < .0001). Specific to pediatric visits, we found the median number of visits per day was 39 (IQR 33-46, range 15-72) versus 18 (IQR 14-22, range 5-61, P < .001). When comparing the median number of visits by month, the volumes were lower during the pandemic for all months, all of which were strongly significant (P < .001 for all). CONCLUSIONS: The BAMC ED experienced a significant decrease in patient volume during the COVID-19 pandemic starting in March 2020. This may have significant implications for the capacity of this facility to maintain a medically ready force. Twit Text FOAVip Changes in Emergency Department Volumes at the Largest U S Military Hospital During the COVID-19 Pandemic ????Mil Med http://www.kidney.de/pget.php?&tw=1&pmid=34411255 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=34411255 #FOAvip English Wikipedia <ref>{{Cite pmid|34411255}}</ref> Changes in Emergency Department Volumes at the Largest U S Military Hospital During the COVID-19 Pandemic #MMPMID34411255 Long A; Fillinger M; April MD; Hudson IL; Trueblood W; Schmitz G; Chin EJ; Hartstein B; Pfaff JA; Schauer SG Mil Med 2022[Oct]; 187 (11-12): e1456-e1461 PMID34411255show ga INTRODUCTION: The coronavirus-2019 (COVID-19) pandemic has significantly impacted global healthcare delivery. Brooke Army Medical Center (BAMC) is the DoD's largest hospital and a critical platform for maintaining a ready medical force. We compare temporal trends in patient volumes and characteristics in the BAMC emergency department (ED) before versus during the pandemic. MATERIALS AND METHODS: We abstracted data on patient visits from the BAMC ED electronic medical record system. Data included patient demographics, visit dates, emergency severity index triage level, and disposition. We visually compared the data from January 1, 2019 to November 30, 2019 versus January 1, 2020 to November 30, 2020 to assess the period with the most apparent differences. We then used descriptive statistics to characterize the pre-pandemic control period (1 March-November 30, 2019) versus the pandemic period (1 March-November 30, 2020). RESULTS: Overall, when comparing the pre-pandemic and pandemic periods, the median number of visits per day was 232 (Interquartile Range (IQR) 214-250, range 145-293) versus 165 (144-193, range 89-308, P < .0001). Specific to pediatric visits, we found the median number of visits per day was 39 (IQR 33-46, range 15-72) versus 18 (IQR 14-22, range 5-61, P < .001). When comparing the median number of visits by month, the volumes were lower during the pandemic for all months, all of which were strongly significant (P < .001 for all). CONCLUSIONS: The BAMC ED experienced a significant decrease in patient volume during the COVID-19 pandemic starting in March 2020. This may have significant implications for the capacity of this facility to maintain a medically ready force. |*COVID-19/epidemiology[MESH] |*Pandemics[MESH] |Child[MESH] |Emergency Service, Hospital[MESH] |Hospitals, Military[MESH] |Humans[MESH] |Retrospective Studies[MESH] |SARS-CoV-2[MESH]Changes in Emergency Department Volumes at the Largest U S Military H(epmc).pdf DeepDyve Pubget Overpricing