Impact of Pandemic of Presentation to Emergency Department and Admissions

Sponsor

University of Southampton (Other)

Overall Status

Completed

CT.gov ID

NCT04893122

Collaborator

(none)

166,459

Enrollment

Actual Duration (Months)

Study Details

Study Description

Brief Summary

Observational study assessing the impact of the COVID-19 pandemic on presentations and admission to hospital in children and young adults.

Condition or Disease	Intervention/Treatment	Phase
Emergencies	Other: COVID-19 pandemic

Detailed Description

The COVID-19 pandemic has had a major impact on healthcare utilisation and delivery for children and young adults. This is despite these groups experiencing minimal morbidity and almost no mortality as a direct result of the pandemic. The immediate impact of the first lockdown in April 2020 has been well documented. A number of studies show a marked reduction in presentations of children and young adults to the emergency department.

The question is now, are these trends continuing and are they particularly impacting on specific groups and on specific presentations? With these data, services can be modified to minimise any potential for deleterious effects. It may also be possible to target groups who are not utilising health services as the investigators would expect.

The investigators will use fully anonymised routine data on presentations and admission of 0 to 24 years olds to University Hospital Southampton NHS Foundation Trust. Data will be graphed to show trends in activity before and after the start of the pandemic. An interrupted time series regression analysis will be used to assess the significance of any changes in trends.

Study Design

Study Type:

Observational

Actual Enrollment :

166459 participants

Observational Model:

Cohort

Time Perspective:

Retrospective

Official Title:

Impact of the COVID-19 Pandemic on Emergency Department Attendances and Admissions in Southampton for Children and Young Adults

Actual Study Start Date :

Apr 1, 2016

Actual Primary Completion Date :

Mar 31, 2021

Actual Study Completion Date :

Mar 31, 2021

Outcome Measures

Primary Outcome Measures

Attendance in emergency department or paediatric assessment unit [5 years from April 2016]
Attendance at the emergency department in Southampton defined as being booked onto the emergency department admission system.

Secondary Outcome Measures

Emergency admission to hospital [5 years from April 2016]
Admission to University Hospital Southampton NHS Foundation Trust defined as being in hospital for more than four hours. Participants will be divided into the same subgroups as per attendances.

Eligibility Criteria

Criteria

Ages Eligible for Study:

0 Years to 24 Hours

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Children and young adults aged 0 to 24 years
Presented +/- admitted to the emergency department at University Hospital Southampton NHS Foundation Trust between the 1st of April 2016 and 31st of March 2021

Exclusion Criteria: None

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

University of Southampton

Investigators

None specified.

Study Documents (Full-Text)

Study Protocol - Feb 28, 2021

More Information

Publications

None provided.

Responsible Party:

University of Southampton

ClinicalTrials.gov Identifier:

NCT04893122

Other Study ID Numbers:

63328

First Posted:

May 19, 2021

Last Update Posted:

May 24, 2022

Last Verified:

May 1, 2022

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by University of Southampton

Additional relevant MeSH terms:

Emergencies

Study Results

No Results Posted as of May 24, 2022